STEPHEN RAYMOND SMALL

PORTLAND, ME
NPI1780891481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT1506)
Enumeration Date2007-05-16
Last Update Date2017-12-14
Business Address
-- STEPHEN RAYMOND SMALL Physical Therapist
26 PORTLAND STREET
PORTLAND, ME 04101
Phone number: 207-761-8402
Mailing Address
-- STEPHEN RAYMOND SMALL Physical Therapist
75 WASHINGTON AVE STE 300
PORTLAND, ME 04101-2665
Phone number: 207-761-8402
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