LUCAS DAVENPORT

SACO, ME
NPI1154996270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT5936)
Enumeration Date2021-05-21
Last Update Date2021-11-16
Business Address
LUCAS DAVENPORT PT
15 LUND RD
SACO, ME 04072-1806
Phone number: 207-282-4210
Mailing Address
LUCAS DAVENPORT PT
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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