Individual
DR. SAMUEL BRIAN METHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
331 VERANDA ST STE 401, PORTLAND, ME 04103-5545
(207) 536-0702
(207) 536-0785
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6113
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT6113
ME LICENSE
ME
Enumeration date
12/16/2021
Last updated
02/07/2023
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