KIMBERLEE DAE SUSI

CARIBOU, ME
NPI1821777012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA6572)
Enumeration Date2023-07-14
Last Update Date2023-07-14
Business Address
KIMBERLEE DAE SUSI PTA
163 VAN BUREN RD STE 1
CARIBOU, ME 04736-3588
Phone number: 207-498-1170
Mailing Address
KIMBERLEE DAE SUSI PTA
73 SWEDEN ST UNIT 2
CARIBOU, ME 04736-2101
Phone number: 207-551-0229