RAVEN R FULFORD

SCARBOROUGH, ME
NPI1760927347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT4184)
Enumeration Date2017-01-05
Last Update Date2018-02-27
Business Address
RAVEN R FULFORD PT
55 SPRING STREET
SCARBOROUGH, ME 04074
Phone number: 207-396-7337
Mailing Address
RAVEN R FULFORD PT
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000