Provider Demographics
NPI:1467782045
Name:CHESSIE, BRIGID GUINEY (PT)
Entity Type:Individual
Prefix:MS
First Name:BRIGID
Middle Name:GUINEY
Last Name:CHESSIE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1814
Mailing Address - Country:US
Mailing Address - Phone:207-282-5161
Mailing Address - Fax:
Practice Address - Street 1:328 NORTH ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1814
Practice Address - Country:US
Practice Address - Phone:207-282-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2963225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist