Individual
MRS. DIANA LYNN MICHAUD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
28 COLLEGE AVENUE, WATERVILLE, ME 04901
(207) 873-4302
(207) 873-4508
Mailing address
13 BOLDUC AVENUE, WINSLOW, ME 04901
(207) 872-5894
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1271
ME
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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