Individual
JOSHUA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 941-8400
Mailing address
324 MEDFORD RD, LAGRANGE, ME 04453-5214
(207) 943-6872
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT5951
ME
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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