Individual
LOGAN L GAILITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
37 COLLEGE AVE, GORHAM, ME 04038-1032
(207) 780-5200
Mailing address
20 CHERRYFIELD AVE, SACO, ME 04072-2404
(207) 286-3689
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/15/2018
Last updated
05/30/2019
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