Individual
MARTINA PAULINE BOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
277 STATE ST, BANGOR, ME 04401-5439
(207) 922-4000
Mailing address
277 STATE ST, BANGOR, ME 04401-5439
(207) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4666
ME
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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