Individual
ANGELA BILODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 MAIN ST, SOUTH PORTLAND, ME 04106-2621
(207) 741-2624
Mailing address
25 FOWLER FARM RD, SCARBOROUGH, ME 04074-7558
(207) 883-0589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3032
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3032
LICENSE NUMBER
ME
Enumeration date
03/22/2007
Last updated
07/08/2007
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