NPI 1033836119
Patrick L Tibbetts, PTA
Practice location
- Address
- 160 Riverside Dr, Augusta, ME 04330-4162
- Phone
- (207) 622-9467
- Fax
- (207) 623-2874
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1033836119
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Oct 2022
- Record last updated
- 20 Oct 2022
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.