Individual
BENJAMIN TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
37 COLLEGE AVE, COSTELLO SPORTS COMPLEX, GORHAM, ME 04038-1032
(207) 228-8104
Mailing address
37 COLLEGE AVE, COSTELLO SPORTS COMPLEX, GORHAM, ME 04038-1032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT213
ME
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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