LYNETTE ROSE GODBOUT

LEWISTON, ME
NPI1134247307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA2302)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- LYNETTE ROSE GODBOUT PTA
102 CAMPUS AVE
LEWISTON, ME 04240-6019
Phone number: 207-777-4219
Mailing Address
-- LYNETTE ROSE GODBOUT PTA
307 ROUTE 135
MONMOUTH, ME 04259-6518
Phone number: