Individual
KRISTIN ROSE BONENFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2121
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2101
(207) 553-7166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4052
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497188825
—
ME
Enumeration date
08/21/2013
Last updated
09/26/2025
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