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Individual

MICHAEL DOWNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
584 ROOSEVELT TRL, WINDHAM, ME 04062-4904
(207) 893-2490
Mailing address
45 VALLEY VIEW DR, GORHAM, ME 04038-2543
(207) 839-6864

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT118
LICENSE #
ME
Enumeration date
08/23/2006
Last updated
07/08/2007
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