Individual
DONNA SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 MAIN ST, SUITE 1, SPRINGVALE, ME 04083-1818
(207) 324-5551
Mailing address
42 MOSHER ST, SOUTH PORTLAND, ME 04106-2122
(207) 767-2317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1597
LICENSE #
ME
Enumeration date
08/29/2006
Last updated
07/08/2007
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