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MRS. SHANNON KATHLEEN JAMISON PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1730173972

Individual Registrant:
MRS. SHANNON KATHLEEN JAMISON PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
286 MAIN ST  WINTHROP, ME 04364-1527 US
Tel: 207-377-8910  Fax: 207-377-6671

Contact information for business:
286 MAIN ST  WINTHROP, ME 04364-1527 US
Tel: 207-377-8910  Fax: 207-377-6671

Registration Information:
NPI: 1730173972
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MEPT1408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
410770099ME05
ANTHEM022171ME01
AETNA3584883ME01




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