Individual
MR. JEFFREY M THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
180 WATERMAN DR, SOUTH PORTLAND, ME 04106-3659
(207) 550-0660
Mailing address
68 ROBIE ST, GORHAM, ME 04038-1726
(207) 432-7536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3739
ME
Other
Enumeration date
08/23/2011
Last updated
10/03/2024
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