Provider Demographics
NPI:1962143834
Name:GUERRETTE, CHRISTINE MICHELE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MICHELE
Last Name:GUERRETTE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:MICHELE
Other - Last Name:BOUCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 STILLWATER AVE.
Mailing Address - Street 2:SUITE 5
Mailing Address - City:OLD TOWN
Mailing Address - State:ME
Mailing Address - Zip Code:04468
Mailing Address - Country:US
Mailing Address - Phone:207-817-0214
Mailing Address - Fax:
Practice Address - Street 1:601 STILLWATER AVE.
Practice Address - Street 2:SUITE 5
Practice Address - City:OLD TOWN
Practice Address - State:ME
Practice Address - Zip Code:04468
Practice Address - Country:US
Practice Address - Phone:207-817-0214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist