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Individual

TERRANCE PRESTON PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
22 LINCOLN ST, BRUNSWICK, ME 04011-1912
(207) 729-1164
(207) 725-0905
Mailing address
8 OUTLOOK LN, BRUNSWICK, ME 04011-1760
(207) 729-1164
(207) 725-0905

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2243
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100032
ANTHEM BC
05
89660000
ME
Enumeration date
04/26/2006
Last updated
10/06/2008
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