NPI 1033363130

Jon David Leclair, PTA

Practitioner Physical Therapy Assistant Machias, ME

Practice location

Address: 5 Stackpole Road, Machias, ME 04654
Phone: (207) 255-5928
Fax: (207) 255-5958

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA3379 (ME)

Other Physical Therapy Assistant providers in Maine →

Registry record

NPI: 1033363130
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2008
Record last updated: 17 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.