Patrick L Tibbetts, PTA

NPI #1033836119 in Augusta, Maine

Provider Information

NPI Number: 1033836119
Entity Type: Individual
Name: Patrick L Tibbetts, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 20, 2022
Last Updated: Oct 20, 2022

Practice Location

Address: 160 RIVERSIDE DR
City: Augusta
State: Maine
ZIP Code: 04330-4162
Phone: (207) 622-9467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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