Individual
MS. SUSAN GAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
C/O NEW BEGINNINGS PT, 1068 MAIN STREET - BOX 11, SANFORD, ME 04073
(207) 324-1611
(207) 324-1611
Mailing address
C/O NEW BEGINNINGS PT, 1068 MAIN STREET - BOX 11, SANFORD, ME 04073
(207) 324-1611
(207) 324-1611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2171
ME
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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