NPI 1720478720

Jenna Dubord, PTA

Practitioner Physical Therapy Assistant Brewer, ME

Practice location

Address: 797 Wilson St, Brewer, ME 04412-1000
Phone: (207) 992-4042

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA4220 (ME)

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Registry record

NPI: 1720478720
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2015
Record last updated: 28 Jan 2015

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.