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Individual

MRS. ERIN A GINGRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 361-3888
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 361-3888
(207) 361-3899

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2326
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08Y002008NH01
ANTHEM PROVIDER NUMBER
NH
01
542065286
TAX IDENTIFICATION NUMBER
NH
01
626470
HPHC PROVIDER NUMBER
NH
Enumeration date
01/04/2007
Last updated
02/22/2018
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