Individual
GREGG BAHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 626-2600
Mailing address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4433
ME
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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