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KATHY ELDERS PT

>> Specialist >> Other Service Providers

Registrant NPI Number: 1699804393

Individual Registrant:
 KATHY  ELDERS PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
270 STATE RD  WEST BATH, ME 04530-6320 US
Tel: 207-442-8625  Fax: 207-442-8318

Contact information for business:
270 STATE RD  WEST BATH, ME 04530-6320 US
Tel: 207-442-8625  Fax: 207-442-8318

Registration Information:
NPI: 1699804393
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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