Individual
DIANE CONNOLLY BORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7332
MA
2251P0200X
Pediatric Physical Therapist
7288
ME
Other
Enumeration date
01/09/2007
Last updated
12/08/2025
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