Individual
CORY OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1211 BROADWAY STE 8, BANGOR, ME 04401-2503
(207) 992-4000
Mailing address
PO BOX 6, STILLWATER, ME 04489-0006
(207) 949-0552
(207) 558-3285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3965
ME
Other
Enumeration date
11/12/2012
Last updated
06/26/2024
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