IndividualActive
Edward Small, PTA
NPI 1508107665 · Physical Therapy Assistant · Bangor, ME
Provider details
- NPI number
- 1508107665
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PA3405 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
489 State St
Bangor, ME 04401-6616
Phone: (207) 973-8086
Approximate (ZIP-level) locationGet directions
Mailing address
297 Birch St
Bangor, ME 04401-4025
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2013-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.