Individual
TODD THAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
691 US ROUTE 1, SCARBOROUGH, ME 04074-9730
(207) 468-1712
Mailing address
691 US ROUTE 1, SCARBOROUGH, ME 04074-9730
(207) 468-1712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3613
ME
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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