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Individual

MRS. HEATHER ALICE CARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
5 NORTH STREET, PRESQUE ISLE, ME 04769-2240
(207) 769-2160
(207) 769-2161
Mailing address
5 NORTH STREET, PRESQUE ISLE, ME 04769-2240
(207) 769-2160
(207) 769-2161

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2401
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265080099
ME
Enumeration date
10/07/2008
Last updated
10/21/2008
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