Individual
AMY DELANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 PRESUMPSCOT ST, SUITE 3, PORTLAND, ME 04103-5225
(207) 253-1707
Mailing address
125 PRESUMPSCOT ST, SUITE 3, PORTLAND, ME 04103-5225
(207) 253-1707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT2418
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061638
BLUE CROSS BLUE SHIELD
ME
01
—
AA49424
HARVARD PILGRIM
ME
Enumeration date
06/11/2006
Last updated
07/08/2007
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