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Individual
MAGGIE DUFAULT
Active
Individual
MAGGIE DUFAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10656R
LA
225100000X
Physical Therapist
Primary
2305213001
VA
225100000X
Physical Therapist
24957
MA
225100000X
Physical Therapist
27723
MD
225100000X
Physical Therapist
5184
NH
Other
Enumeration date
08/22/2019
Last updated
11/02/2023
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