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1235322561
GREGORY EVAN THIBEAULT
WELLS, ME
NPI
1235322561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT758)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
Mr. GREGORY EVAN THIBEAULT MPT
112 SANFOR ROAD (RT. 109) WELLS PHYSICAL THERAPY
WELLS, ME 04090
Phone number: 207-646-0373
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Mailing Address
Mr. GREGORY EVAN THIBEAULT MPT
15 HOSPITAL DR YORK HOSPITAL
YORK, ME 03909-1011
Phone number: 207-351-2143
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