Individual
JARED PRUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909-1158
(207) 361-3888
Mailing address
4 YORK SHORES DR, YORK, ME 03909-5371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4789
ME
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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