Individual
MR. DANA PAUL TARDIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T. ; LMT
Contact information
Practice address
11 MAIN ROAD NORTH, HAMPDEN, ME 04444-0227
(207) 862-3906
(207) 862-2892
Mailing address
PO BOX 227, 11 MAIN ROAD NORTH, HAMPDEN, ME 04444-0227
(207) 862-3906
(207) 862-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT532
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252020099
—
ME
Enumeration date
07/04/2006
Last updated
10/25/2018
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