MR. Dana Michael Tavares, LMT.,CPT

NPI #1801077086 in Damariscotta, Maine

Provider Information

NPI Number: 1801077086
Entity Type: Individual
Name: MR. Dana Michael Tavares, LMT.,CPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT.,CPT
Enumeration Date: Nov 16, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 400 EGYPT RD
City: Damariscotta
State: Maine
ZIP Code: 04543-4322
Phone: (207) 563-2737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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