Individual
BRIAN THOMAS RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
690 MINOT AVE STE 2, AUBURN, ME 04210-3922
(207) 783-3450
Mailing address
30 LYDIA LN UNIT 2109, SOUTH PORTLAND, ME 04106-2296
(503) 863-9118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5961
ME
Other
Enumeration date
06/10/2021
Last updated
10/01/2021
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