NPI 1720193337
Kim Michaud, CFO
Practice location
- Address
- 1 VA Ctr Prosthetic Service (126p), Augusta, ME 04330-6719
- Phone
- (207) 623-5769
- Fax
- (207) 623-5779
- Mailing address
- 106 Oak Grove Rd, Vassalboro, ME 04989-3230
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1720193337
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Aug 2006
- Record last updated
- 8 Jul 2007
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.