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1811955115
THOMAS JOSEPH BOUTAUGH
HERMON, ME
NPI
1811955115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT2423)
Enumeration Date
2006-05-03
Last Update Date
2012-02-13
Business Address
MR. THOMAS JOSEPH BOUTAUGH MSPT
2402 ROUTE 2 SUITE 8
HERMON, ME 04401-0665
Phone number: 207-659-0857
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Mailing Address
MR. THOMAS JOSEPH BOUTAUGH MSPT
14 MAIN TRL
HAMPDEN, ME 04444-1514
Phone number: 207-659-0857
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