Individual
KIMBERLY DIANE WALLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 BATH RD STE 201, BRUNSWICK, ME 04011-2606
(207) 884-8923
(207) 884-8972
Mailing address
73 NEWTON RD, STE 101, PLAISTOW, NH 03865-2424
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4737
ME
Other
Enumeration date
11/23/2016
Last updated
08/29/2023
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