Individual
LORI GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. P.T.
Contact information
Practice address
310 BATH RD, BRUNSWICK, ME 04011-2651
(207) 373-6175
(207) 373-6180
Mailing address
310 BATH RD, BRUNSWICK, ME 04011-2651
(207) 373-6175
(207) 373-6180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2244
ME
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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