Individual
PETER BISHOP MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(120) 777-6427
Mailing address
117 GOULD RD, LISBON FALLS, ME 04252-9761
(120) 777-6427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT254
ME
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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