Individual
SUSAN M. VINALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
78 BEECHLAND RD, ELLSWORTH, ME 04605-2533
(207) 667-4800
Mailing address
15 MOUNTAIN VIEW DR, ELLSWORTH, ME 04605-2621
(207) 667-2392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2637
ME
Other
Enumeration date
02/27/2008
Last updated
10/07/2008
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