MR. Jon David Leclair, PTA

NPI #1033363130 in Machias, Maine

Provider Information

NPI Number: 1033363130
Entity Type: Individual
Name: MR. Jon David Leclair, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 17, 2008
Last Updated: Nov 17, 2008

Practice Location

Address: 5 STACKPOLE ROAD
City: Machias
State: Maine
ZIP Code: 04654
Phone: (207) 255-5928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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