Christine Marie Dastalto PT

NPI 1194915355 - Physical Therapist - 225100000X

NPI Details
NPI 1194915355
Gender Female
Enumeration Date 07/25/2007
Last Updated 07/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
331 VERANDA STREET
PORTLAND ME, 04103, US
Phone (207) 874-1125
Fax (207) 874-1127
Business Location
331 VERANDA STREET
PORTLAND ME, 04103, US
Phone (207) 874-1125
Fax (207) 874-1127
Toxanomy
Taxonomy Code 225100000X
License State Maine
License Number PT3192
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According to our database, Christine Marie Dastalto PT NPI is 1194915355, taxonomy code is 225100000X and license number is PT3192, license state is located at Maine. Christine Marie Dastalto PT physically located at 331 Veranda Street, Portland ME, 04103. NPI Number Christine Marie Dastalto PT has the Individual type.

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1194915355 NPI number is provided on an as is basis without warranty of any kind. 1194915355 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Marie Dastalto PT are for informational purposes only.