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Individual

MS. DIANE BEAUDOIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
12 HESELTON ST, SKOWHEGAN, ME 04976
(207) 474-6622
(207) 474-6983
Mailing address
12 HESELTON ST, SKOWHEGAN, ME 04976
(207) 474-6622
(207) 474-6983

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT761
ME

Other

Enumeration date
03/14/2006
Last updated
11/12/2012
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