Individual
DIANE K KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1068 MAIN ST, SANFORD, ME 04073-3606
(207) 324-6789
(207) 324-9394
Mailing address
451 FORD QUINT RD, NORTH BERWICK, ME 03906-5954
(207) 459-7170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2452
ME
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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