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1730112350
ANDREA M BLAIS
SOUTH PORTLAND, ME
NPI
1730112350
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Other Name
ANDREA KNOWLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT1279)
Enumeration Date
2006-07-08
Last Update Date
2022-01-25
Business Address
ANDREA M BLAIS PT
100 FODEN RD, WEST 205
SOUTH PORTLAND, ME 04106
Phone number: 207-780-8860
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Mailing Address
ANDREA M BLAIS PT
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone number: 207-828-0361
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