Individual
LEANNA DALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
895 PORTLAND RD, SACO, ME 04072-9673
(207) 439-5104
Mailing address
895 PORTLAND RD, SACO, ME 04072-9673
(207) 439-5104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5941
ME
Other
Enumeration date
05/20/2021
Last updated
09/11/2021
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