Individual
NICHOLAS GINGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 US ROUTE 1 BYP, KITTERY, ME 03904-1784
(207) 475-1160
Mailing address
5 WOODLAWN AVE, KITTERY, ME 03904-1208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3497
ME
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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