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Individual

PETER JAMES GAGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
990 WILKINSON TRCE, SUITE B1, BOWLING GREEN, KY 42103-3404
(270) 781-8040
(270) 781-8355
Mailing address
2235 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-5081
(270) 781-1151
(270) 781-1959

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006372
KY

Other

Enumeration date
03/24/2014
Last updated
03/24/2014
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