Alexander Kagan

NPI #1194258749 in Bangor, Maine

Provider Information

NPI Number: 1194258749
Entity Type: Individual
Name: Alexander Kagan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 10, 2017
Last Updated: Apr 11, 2017

Practice Location

Address: 1348 KENDUSKEAG AVE
City: Bangor
State: Maine
ZIP Code: 04401-2427
Phone: (207) 951-2868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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