NPI 1114385036
Miriah Roderigue
Practice location
- Address
- 188 Eastern Ave, Augusta, ME 04330-5928
- Phone
- (207) 622-3121
- Mailing address
- 19 Grimmauld Pl, Sidney, ME 04330-2656
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1114385036
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Feb 2016
- Record last updated
- 5 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.