Steven Andrew Kiesman PTA

NPI 1497911549 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1497911549
Gender Male
Enumeration Date 07/29/2008
Last Updated 07/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1145 BRIGHTON AVE
PORTLAND ME, 04102-1025, US
Phone (207) 541-6523
Fax
Business Location
1145 BRIGHTON AVE
PORTLAND ME, 04102-1025, US
Phone (207) 541-6523
Fax
Toxanomy
Taxonomy Code 225200000X
License State Maine
License Number PA1356
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According to our database, Steven Andrew Kiesman PTA NPI is 1497911549, taxonomy code is 225200000X and license number is PA1356, license state is located at Maine. Steven Andrew Kiesman PTA physically located at 1145 Brighton Ave, Portland ME, 04102-1025. NPI Number Steven Andrew Kiesman PTA has the Individual type.

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1497911549 NPI number is provided on an as is basis without warranty of any kind. 1497911549 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Andrew Kiesman PTA are for informational purposes only.