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1285139725
LISA ELLEN GERHARDT
PORTLAND, ME
NPI
1285139725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT4495)
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
-- LISA ELLEN GERHARDT DPT
850 BAXTER BLVD
PORTLAND, ME 04103-4901
Phone number: 207-774-7878
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Mailing Address
-- LISA ELLEN GERHARDT DPT
850 BAXTER BLVD
PORTLAND, ME 04103-4901
Phone number: 207-774-7878
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