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Individual

LUCAS DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4 COMMONS AVE STE A, WINDHAM, ME 04062-5554
(207) 282-4210
Mailing address
4 COMMONS AVE STE A, WINDHAM, ME 04062-5554
(072) 828-2100

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5936
ME

Other

Enumeration date
05/21/2021
Last updated
08/15/2025
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