Individual
MR. ADAM SPENCER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
161 OCEAN ST, SOUTH PORTLAND, ME 04106-3623
(207) 799-8226
(207) 799-9340
Mailing address
94 MAIN ST, GORHAM, ME 04038-1340
(207) 839-5860
(207) 799-9340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
12/11/2009
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