Molly Amirault, PTA

NPI #1326203688 in Portland, Maine

Provider Information

NPI Number: 1326203688
Entity Type: Individual
Name: Molly Amirault, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

Address: 1133 WASHINGTON AVE
City: Portland
State: Maine
ZIP Code: 04103-3629
Phone: (207) 797-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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