Individual
BRIAN MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, ATC
Contact information
Practice address
111 OSSIPEE TRL E, SUITE 1151, STANDISH, ME 04084-6464
(207) 642-5325
(207) 642-5395
Mailing address
95 BUCK ST, GORHAM, ME 04038-2201
(207) 650-2591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PA3126
ME
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT211
LICENSE #
ME
Enumeration date
08/30/2006
Last updated
06/25/2008
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