Individual
MRS. JENNIFER LYNN NOFTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
162 DEVINE RD, WHITEFIELD, ME 04353-3208
(207) 549-7192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2798
ME
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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