Individual
GUY ROBERT AUDET
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
94 AUBURN ST, SUITE 3, PORTLAND, ME 04103
(207) 797-7578
(207) 797-8165
Mailing address
4 DEER RUN DR, BIDDEFORD, ME 04005
(207) 286-8535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1046
ME
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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