Individual
BRIANNA ANNINA DESGROSSEILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 873-4638
Mailing address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 622-9467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5217
STAE OF MAINE
ME
Enumeration date
02/11/2019
Last updated
02/11/2019
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