Individual
NICOLE ROSE CONSTANTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
94 MAIN ST UNIT 2, GORHAM, ME 04038-1340
(207) 839-5860
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6418
ME
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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