Individual
JUANITO III URETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 BENJAMINS WAY, BANGOR, ME 04401-2688
(689) 299-8863
Mailing address
36 BENJAMINS WAY, BANGOR, ME 04401-2688
(689) 299-8863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6890
ME
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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