Jonathan D Ouellette, PTA

NPI #1992479455 in Bangor, Maine

Provider Information

NPI Number: 1992479455
Entity Type: Individual
Name: Jonathan D Ouellette, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 6, 2021
Last Updated: Aug 6, 2021

Practice Location

Address: 82 SYLVAN RD
City: Bangor
State: Maine
ZIP Code: 04401-4221
Phone: (207) 401-4324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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