MS. Susan Gagner, PTA

NPI #1649207192 in Sanford, Maine

Provider Information

NPI Number: 1649207192
Entity Type: Individual
Name: MS. Susan Gagner, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: C/O NEW BEGINNINGS PT
Address 2: 1068 MAIN STREET - BOX 11
City: Sanford
State: Maine
ZIP Code: 04073
Phone: (207) 324-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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