Wild Grace Wellness Center Llc

NPI 1073892188 - Physical Therapist - 2251X0800X

NPI Details
NPI 1073892188
Enumeration Date 08/07/2011
Last Updated 08/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name EMILY ANN EMILY
Position OWNER
Phone (207) 737-2478
Fax
Practice Location
36 LUDWIG RD
DRESDEN ME, 04342-3411, US
Phone (207) 737-2478
Fax
Business Location
36 LUDWIG RD
DRESDEN ME, 04342-3411, US
Phone (207) 737-2478
Fax
Toxanomy
Taxonomy Code 2251X0800X
License State Maine
License Number PT2942
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According to our database, Wild Grace Wellness Center Llc NPI is 1073892188, taxonomy code is 2251X0800X and license number is PT2942, license state is located at Maine. Wild Grace Wellness Center Llc physically located at 36 Ludwig Rd, Dresden ME, 04342-3411. NPI Number 1033115704 has the healthcare provider type.

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1073892188 NPI number is provided on an as is basis without warranty of any kind. 1073892188 is maintained by the National Plan & Provider Enumeration System. The contents of Wild Grace Wellness Center Llc are for informational purposes only.