Individual
MICHAEL LANE HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
(207) 553-7166
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2121
ME
Other
Enumeration date
05/06/2009
Last updated
04/04/2023
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