Individual
MR. TIMOTHY EDWARD REIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTRL
Contact information
Practice address
162 HARTLEY ST, PORTLAND, ME 04103-3231
(207) 415-6852
Mailing address
162 HARTLEY ST, PORTLAND, ME 04103-3231
(207) 415-6852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT1597
ME
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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