Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1901 | ME |
N | 2251C2600X | Cardiopulmonary | 1901 | ME |
N | 2251N0400X | Physical Therapist - Neurology | 1901 | ME |
NPI | 1023342383 |
---|---|
Provider Name | Celeste A Sartor |
First Address | Scarborough, ME 04074 |
Second Address | Scarborough, ME 04074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2009 |
Last Update Date | 12/04/2017 |