Individual
THOMAS ORDELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 MECHANIC ST, CAMDEN, ME 04843-1811
(207) 236-4197
Mailing address
PO BOX 312, SEARSPORT, ME 04974-0312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4929
ME
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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