Individual
SAMANTHA GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 BATES ST STE 201, LEWISTON, ME 04240-7637
(207) 795-2122
Mailing address
77 BATES ST STE 201, LEWISTON, ME 04240-7637
(207) 795-2122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6058
ME
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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