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BRENDA AYRE P.T.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1558480970

Individual Registrant:
 BRENDA  AYRE P.T.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 WESTBROOK CMN SUITE 2 WESTBROOK, ME 04092-2804 US
Tel: 207-854-1239  Fax: 207-854-1230

Contact information for business:
PO BOX 310  WESTBROOK, ME 04098-0310 US
Tel: 207-854-1239  Fax: 207-854-1230

Registration Information:
NPI: 1558480970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
MEPT1436

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM BCBS082 040909ME01
CIGNA5305799ME01
MACHIGONNEMNT112ME01
314620099ME05




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