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SHANNON KELLIE PIETRAS

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Geriatrics

Provider NPI: 1851639298

Provider Information:
 SHANNON KELLIE PIETRAS 
Gender: F
Not Sole Proprietor

Practice Location:
2 DAVIS POINT LN SUITE 1A CAPE ELIZABETH, ME 04107-2620 US
Tel: 207-767-9773  Fax: 207-541-9212

Business Mailing Address:
2 DAVIS POINT LN SUITE 1A CAPE ELIZABETH, ME 04107-2620 US
Tel: 207-767-9773  Fax: 207-541-9212

NPI Information:
NPI: 1851639298
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Geriatrics
MEPT3976

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2251G0304X

Type:

Classification:



Definition:



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