-- EDWARD VICTOR SMALL Jr. PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1508107665- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 489 STATE ST, BANGOR, ME, 044016616
- Phone
- (207) 973-8086
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ME #PA3405