RURIK SAMUAL BRACKETT

PORTLAND, ME
NPI1962277947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT6670)
Enumeration Date2023-11-20
Last Update Date2023-11-20
Business Address
RURIK SAMUAL BRACKETT
331 VERANDA ST STE 401
PORTLAND, ME 04103-5545
Phone number: 207-536-0702
Mailing Address
RURIK SAMUAL BRACKETT
73 NEWTON RD UNIT 101
PLAISTOW, NH 03865-2440
Phone number: 978-388-7272