Individual
INGRID J VAN DUIVENBODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 IDEXX DR, WESTBROOK, ME 04092-2040
(207) 556-6802
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2381
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338210099
—
ME
Enumeration date
07/08/2006
Last updated
03/03/2026
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