DANA MICHAEL TAVARES

DAMARISCOTTA, ME
NPI1801077086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: ME  MT1780)
Enumeration Date2007-11-16
Last Update Date2007-11-16
Business Address
Mr. DANA MICHAEL TAVARES LMT.,CPT
400 EGYPT RD
DAMARISCOTTA, ME 04543-4322
Phone number: 207-563-2737
Mailing Address
Mr. DANA MICHAEL TAVARES LMT.,CPT
400 EGYPT RD
DAMARISCOTTA, ME 04543-4322
Phone number: 207-563-2737