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Individual

TODD D. LAMOREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
100 FODEN RD, WEST, SUITE 205, SOUTH PORTLAND, ME 04106-2327
(207) 780-8860
(207) 523-8584
Mailing address
100 FODEN RD, WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT2769
LICENSE#
ME
Enumeration date
08/30/2006
Last updated
08/13/2013
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