Provider Demographics
NPI:1811274715
Name:CHOINIERE, JAIMIE VICTORIA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JAIMIE
Middle Name:VICTORIA
Last Name:CHOINIERE
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 1:309 N AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-8745
Mailing Address - Country:US
Mailing Address - Phone:207-577-4529
Mailing Address - Fax:
Practice Address - Street 1:309 N AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-8745
Practice Address - Country:US
Practice Address - Phone:207-577-4529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT37842251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics