Individual
BRIDGET GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 ABBOTT ST, 4, BREWER, ME 04412
(207) 735-6658
Mailing address
199 BOMARC RD APT 23, BANGOR, ME 04401-2696
(207) 735-6658
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PA4087
ME
225700000X
Massage Therapist
Primary
MT5792
ME
225700000X
Massage Therapist
MT58792
ME
Other
Enumeration date
07/12/2016
Last updated
10/09/2024
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