Individual
BRYAN CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6 BARRA RD UNIT 2, BIDDEFORD, ME 04005-9459
(207) 282-5386
(207) 994-2546
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4212
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760881627
—
ME
Enumeration date
08/17/2014
Last updated
02/08/2023
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