Individual
MATTHEW DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 LAMKIN LN, GRAY, ME 04039-7771
(207) 650-3981
Mailing address
19 LAMKIN LN, GRAY, ME 04039-7771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3622
ME
Other
Enumeration date
01/20/2010
Last updated
11/03/2014
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