JONATHAN D OUELLETTE

BANGOR, ME
NPI1992479455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA5982)
Enumeration Date2021-08-06
Last Update Date2021-08-06
Business Address
JONATHAN D OUELLETTE PTA
82 SYLVAN RD
BANGOR, ME 04401-4221
Phone number: 207-401-4324
Mailing Address
JONATHAN D OUELLETTE PTA
82 SYLVAN RD
BANGOR, ME 04401-4221
Phone number: 207-401-4324