Individual
TIMOTHY MOUSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13 JULY ST, SANFORD, ME 04073-1909
(207) 490-7098
Mailing address
61 MOUSE LN, ALFRED, ME 04002-3618
(603) 252-7586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3806
ME
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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