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Contact Information

GREGORY E THIBEAULT, MPT
112 SANFOR ROAD (RT. 109)
WELLS PHYSICAL THERAPY
WELLS, ME04090
 Phone: 207-646-0373
 Fax: 207-646-0381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GREGORY E THIBEAULT · (Male)

NPI Number 1235322561
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 08/21/2007
Last updated 08/21/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PT758
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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