MISS Heather Lynn Wacksman, MPT

NPI #1154419653 in Yarmouth, Maine

Provider Information

NPI Number: 1154419653
Entity Type: Individual
Name: MISS Heather Lynn Wacksman, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Oct 10, 2006
Last Updated: Jan 18, 2011

Practice Location

Address: 50 FOREST FALLS DR
Address 2: SUITE 2
City: Yarmouth
State: Maine
ZIP Code: 04096-6937
Phone: (207) 846-8725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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