Individual
ASHLEY GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11 MAIN RD NORTH, HAMPDEN, ME 04444
(207) 862-3906
(207) 862-2892
Mailing address
11 MAINE RD NORTH, PO BOX 227, HAMPDEN, ME 04444
(207) 862-3906
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3949
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6651881
AETNA
ME
Enumeration date
07/10/2018
Last updated
01/10/2023
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