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1902621972
MIGUEL VIDAL
LEWISTON, ME
NPI
1902621972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT6986)
Enumeration Date
2024-11-15
Last Update Date
2024-11-15
Business Address
MIGUEL VIDAL PT, DPT
102 CAMPUS AVE
LEWISTON, ME 04240-6019
Phone number: 207-777-8100
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Mailing Address
MIGUEL VIDAL PT, DPT
4010 15TH ST SW
LEHIGH ACRES, FL 33976-3201
Phone number: 239-470-8022
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