Individual
GABRIEL J REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
29 FODEN RD, SOUTH PORTLAND, ME 04106-1706
(207) 772-2625
(207) 879-4246
Mailing address
29 FODEN RD, SOUTH PORTLAND, ME 04106-1706
(207) 772-2625
(207) 879-4246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2517
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027896
BC/BS OF MAINE
ME
Enumeration date
07/22/2005
Last updated
03/25/2013
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