Provider Demographics
NPI:1871837054
Name:OUELLETTE, CORY (DPT)
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:
Last Name:OUELLETTE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:ME
Mailing Address - Zip Code:04489-0006
Mailing Address - Country:US
Mailing Address - Phone:207-949-0552
Mailing Address - Fax:207-558-3285
Practice Address - Street 1:1211 BROADWAY STE 8
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-2503
Practice Address - Country:US
Practice Address - Phone:207-992-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist