Individual
MAXIME LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT028545
PA
225100000X
Physical Therapist
Primary
PTL.0019199
CO
Other
Enumeration date
08/05/2020
Last updated
07/05/2024
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