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NPI Code Detail

MEDICARE: AIMEE LEIGH LAPLANT PTA

MEDICARE: AIMEE LEIGH LAPLANT PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPA4139ME

General Provider Information

NPI Number : 1629402714
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE LEIGH LAPLANT PTA
Provider Business Mailing Address
First Line : 18A LENNY LN
Second Line :
City : HUDSON
State : NH
Zip : 03051-3147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 895 PORTLAND RD
Second Line :
City : SACO
State : ME
Zip : 04072-9673
Country : US
Telephone Number : 207-439-5104
Fax Number : 207-571-8134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 08/26/2013

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Directions to “ AIMEE LEIGH LAPLANT PTA” Practice Location

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