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Contact Information

ERIC L GOSSELIN, P.T., ATC, CSCS
82 VESPER ST
APT 1
PORTLAND, ME04101-4493
 Phone: 407-791-3723
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ERIC L GOSSELIN · (Male)

NPI Number 1235342643
Status Active
Credentials P.T., ATC, CSCS
Entity Individual
Enumeration date 05/08/2007
Last updated 02/24/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # AL 1851
  • FL License # PT 22300
  • MA License # 17755
  • ME License # PT3292
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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