Individual
DALANI ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 FODEN RD, SOUTH PORTLAND, ME 04106-2327
(207) 774-5816
Mailing address
93 NEWTOWN RD, BIDDEFORD, ME 04005-9230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT700
ME
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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