Individual
MR. GREGORY EVAN THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
112 SANFOR ROAD (RT. 109), WELLS PHYSICAL THERAPY, WELLS, ME 04090
(207) 646-0373
(207) 646-0381
Mailing address
15 HOSPITAL DR, YORK HOSPITAL, YORK, ME 03909-1011
(207) 351-2143
(207) 351-2143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT758
ME
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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