Individual
DANA BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 BARTON ST, PRESQUE ISLE, ME 04769-2609
(207) 325-1460
Mailing address
69 BARTON ST, PRESQUE ISLE, ME 04769-2609
(207) 325-1460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4544
ME
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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