Edward Victor Small JR., PTA

NPI #1508107665 in Bangor, Maine

Provider Information

NPI Number: 1508107665
Entity Type: Individual
Name: Edward Victor Small JR., PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 13, 2013
Last Updated: Mar 13, 2013

Practice Location

Address: 489 STATE ST
City: Bangor
State: Maine
ZIP Code: 04401-6616
Phone: (207) 973-8086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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