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Individual

MRS. AMY MARIE MELVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1339
Mailing address
130 GROVE ST, LEWISTON, ME 04240-1948
(207) 782-6339

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2628
ME

Other

Enumeration date
10/28/2007
Last updated
10/28/2007
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