Individual
MRS. DIANE ADELE NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
317 PACKARD RD, MONMOUTH, ME 04259-7412
(207) 933-3379
(207) 933-6078
Mailing address
317 PACKARD RD, MONMOUTH, ME 04259-7412
(207) 933-3379
(207) 933-6078
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT1079
ME
Other
Enumeration date
01/23/2007
Last updated
07/09/2007
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