Individual
DUANE T KIYOTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
185 OCEAN ST, SOUTH PORTLAND, ME 04106-3600
(207) 799-8226
(207) 799-9340
Mailing address
94 MAIN ST, GORHAM, ME 04038-1340
(207) 839-5860
(207) 839-2499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4511
ME
Other
Enumeration date
08/17/2015
Last updated
08/18/2015
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