Male or Other

Mr. Gregory R. Onnen P.T.A.

Physical Therapy Assistant in Lewiston, ME(View on Map)

Full Name

Mr. Gregory Richard Onnen P.T.A.

NPI Number

1194963413

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/23/2009

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

PA70000747

Contact
Information

Purpose

Mailing
Location

Address

7 TAMPA ST
33 ROGER ST

City

Lewiston
Lewiston

State

ME
ME

Postal Code

04240-5536
04240-3328

Country

US
US

Telephone Number

(207) 783-7565
(207) 784-0108

Identifiers

Identifier

PA70000747

Identifier State

ME

Identifier Issuer

PHYSICAL THERAPIST ASSISTANT LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/23/2009

Provider Address

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