Individual
DEREK LOUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-2946
Mailing address
31 EARLE AVE # 2, BANGOR, ME 04401-3462
(207) 947-4211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2667
LICENSE#
ME
Enumeration date
11/03/2006
Last updated
07/08/2007
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