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Jonathan Ouellette, PTA
NPI 1992479455 · on the registry since 2021
Practice
- Address
- 82 Sylvan Rd
Bangor, ME 04401 - Phone
- (207) 401-4324
- Fax
- (207) 401-4325
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine