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1003025214
KELLY ANN HANSCOM
WATERVILLE, ME
NPI
1003025214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251E1200X Physical Therapist Ergonomics
(Licence: ME PT2820)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
KELLY ANN HANSCOM PT
149 SILVER ST
WATERVILLE, ME 04901-5813
Phone number: 207-873-4638
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Mailing Address
KELLY ANN HANSCOM PT
12 COTTLE RD
OAKLAND, ME 04963-4842
Phone number: 207-465-3388
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