MR. Shan Martin Teixeira, PT, MOMT, OCS

NPI #1568431401 in Lewiston, Maine

Provider Information

NPI Number
1568431401
Entity Type
Individual
Name
MR. Shan Martin Teixeira, PT, MOMT, OCS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Orthopedic
Credential
PT, MOMT, OCS
Enumeration Date
Mar 14, 2006
Last Updated
Dec 10, 2010

Practice Location

Address
581 MAIN ST
Address 2
SUITE 1
State
Maine
ZIP Code
04240-5945
Phone
(207) 777-3002

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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