Individual
MRS. SHEMILY ABY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 498-1618
(207) 498-1653
Mailing address
20 FORT ST, APT# 12, CARIBOU, ME 04736-1619
(207) 498-3229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029213-1
NY
225100000X
Physical Therapist
Primary
PT2997
ME
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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