Individual
BROOKE MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2402 ROUTE 2, SUITE H, HERMON, ME 04401-0665
(207) 848-9009
Mailing address
11 PEARL ST, BANGOR, ME 04401-5552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4054
ME
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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