Individual
MRS. STEFANI RACHELLE BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
584 ROOSEVELT TRL UNIT 2, WINDHAM, ME 04062-4983
(207) 661-2828
Mailing address
584 ROOSEVELT TRL UNIT 2, WINDHAM, ME 04062-4983
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
ME
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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