Individual
SHANNON MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
400 NORTH ST STE 2, SACO, ME 04072-1867
(207) 292-7121
Mailing address
51 RACINE AVE, PORTLAND, ME 04103-3913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6917
ME
Other
Enumeration date
08/01/2024
Last updated
08/07/2024
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