Individual
MICHELLE KASAP-GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
74 PARKWAY S, BREWER, ME 04412-1628
(207) 989-7300
Mailing address
667 FINSON RD, BANGOR, ME 04401-2421
(207) 989-7300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT1669
ME
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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