NPI 1609885052

Cheryl Willis, PTA

Practitioner Physical Therapy Assistant Bangor, ME

Practice location

Address: 133 Corporate Dr Suite 2, Bangor, ME 04401-4312
Phone: (207) 992-9286
Fax: (207) 992-9287
Mailing address: PO Box 921, Bangor, ME 04402-0921

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA1383 (ME)

Other Physical Therapy Assistant providers in Maine →

Registry record

NPI: 1609885052
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2006
Record last updated: 21 Jan 2009

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.