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Individual

JACOB DAVID GREGOIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14 VISTA DR STE 100, GORHAM, ME 04038-5883
(207) 222-8055
(207) 222-8053
Mailing address
73 NEWTON RD UNIT 101, PLAISTOW, NH 03865-2440
(978) 388-7272
(978) 388-7373

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6809
ME

Other

Enumeration date
05/29/2024
Last updated
05/29/2024
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