Individual
JENNIFER WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
67 PINE POINT RD, SCARBOROUGH, ME 04074-8813
(207) 883-2468
(207) 883-3283
Mailing address
210 BEACH ST, APT #16, SACO, ME 04072-2953
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3568
ME
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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