MR. Gregory Evan Thibeault, MPT

NPI #1235322561 in Wells, Maine

Provider Information

NPI Number: 1235322561
Entity Type: Individual
Name: MR. Gregory Evan Thibeault, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 112 SANFOR ROAD (RT. 109)
Address 2: WELLS PHYSICAL THERAPY
City: Wells
State: Maine
ZIP Code: 04090
Phone: (207) 646-0373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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