Individual
JORDAN COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
(207) 621-7501
Mailing address
10 WATER ST, WATERVILLE, ME 04901-6559
(207) 873-9841
(207) 873-9845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4924
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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