Individual
PHILIP R POUZOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
33B PENN PLZ, BANGOR, ME 04401-3619
(207) 990-2050
Mailing address
49 FOREST KNOLL DR, ORRINGTON, ME 04474-3323
(207) 825-4704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124440099
—
ME
Enumeration date
10/24/2006
Last updated
03/07/2013
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