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1033836119
PATRICK L TIBBETTS
AUGUSTA, ME
NPI
1033836119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA6278)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
PATRICK L TIBBETTS PTA
160 RIVERSIDE DR
AUGUSTA, ME 04330-4162
Phone number: 207-622-9467
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Mailing Address
PATRICK L TIBBETTS PTA
160 RIVERSIDE DR
AUGUSTA, ME 04330-4162
Phone number: 207-622-9467
Copy
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