Individual
RUSSELL CARROLL ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
690 MINOT AVE STE 2, AUBURN, ME 04210-3922
(207) 753-3456
(207) 782-9000
Mailing address
174 FLETCHER RD, AUBURN, ME 04210-8874
(207) 577-4142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6934
ME
Other
Enumeration date
08/20/2024
Last updated
08/25/2024
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