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Individual

MR. GARY G TORMOLLAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
28 COLLEGE AVENUE, WATERVILLE, ME 04901
(207) 873-4302
(207) 873-4508
Mailing address
42 MESSALONSKEE AVE, WATERVILLE, ME 04901
(207) 877-9577

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT930
ME

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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