Individual
MATTHEW BONSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
869 MAIN ST, WESTBROOK, ME 04092-2867
(207) 854-1239
Mailing address
15 WINDY ST, AUGUSTA, ME 04330-3943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6920
ME
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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