MISS Melissa Grace Keroack, PT

NPI #1093272031 in Portland, Maine

Provider Information

NPI Number: 1093272031
Entity Type: Individual
Name: MISS Melissa Grace Keroack, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 26, 2019
Last Updated: Feb 26, 2019

Practice Location

Address: 22 BRAMHALL ST
City: Portland
State: Maine
ZIP Code: 04102-3134
Phone: (207) 662-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Physical Therapist	225100000X	Primary

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