Individual
NICOLE DENISE DESJARDINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
440 MINOT AVE, AUBURN, ME 04210-4332
(207) 784-3573
Mailing address
18 CARON ST, LEWISTON, ME 04240-6446
(207) 795-6330
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT2877
ME
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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