| Doctor Name: | MR. GREGORY EVAN THIBEAULT |
| NPI Number: | 1235322561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | |
| Business Practice Address: | 112 Sanfor Road (rt. 109) Wells Physical Therapy Wells, ME - 04090 |
| Business Phone Number: | 2076460373 |
| Business Fax Number: | 2076460381 |
| Mailing Address: | 15 Hospital Dr, York Hospital YORK |
| State: | ME |
| Postal Code: | 039091011 |
| Phone Number: | 2073512143 |
| Fax Number: | 2073512143 |
| NPI Enumeration Date: | 08/21/2007 |
| NPI Last Update Date: | 08/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |