ETHAN DAIGNEAULT

PORTLAND, ME
NPI1063106334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT6519)
Enumeration Date2023-06-08
Last Update Date2023-06-08
Business Address
ETHAN DAIGNEAULT PT
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
Mailing Address
ETHAN DAIGNEAULT PT
37 TOWNHOUSE RD
EAST WATERBORO, ME 04030-5700
Phone number: 207-636-6629
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