Individual provider · NPI-1

Brian Bisson

Physical Therapist · Brunswick, ME

NPI number1528491925
StatusActive
Last updated in NPPESAug 21, 2013

Details

NPI
1528491925
Entity type
Individual (NPI-1)
Name
Mr. Brian Bisson
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 21, 2013
Last updated
Aug 21, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT4079MEYes

Practice location

14 Thomas Point Rd
Brunswick, ME 04011-3911

Phone 207-442-0325

Mailing address

14 Thomas Point Rd
Brunswick, ME 04011-3911

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