Provider Demographics
NPI:1235672825
Name:VAIRO, CORINNE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:VAIRO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:764 US ROUTE 1 STE 4
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5906
Mailing Address - Country:US
Mailing Address - Phone:207-351-3083
Mailing Address - Fax:207-351-3083
Practice Address - Street 1:764 US ROUTE 1 STE 4
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-5906
Practice Address - Country:US
Practice Address - Phone:207-351-3083
Practice Address - Fax:207-351-3083
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT4795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist