Individual
TODD CASTONGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
Mailing address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011406L
PA
225100000X
Physical Therapist
Primary
PT3384
ME
Other
Enumeration date
07/11/2006
Last updated
06/21/2021
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