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NPI Code Detail

MEDICARE: DAWN NADEAU PT

MEDICARE: DAWN NADEAU PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist965ME

General Provider Information

NPI Number : 1184113755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN NADEAU PT
Provider Business Mailing Address
First Line : 50 NEW PORTLAND RD
Second Line :
City : GORHAM
State : ME
Zip : 04038-1500
Country : US
Telephone Number : 207-839-5757
Fax Number :
Provider Business Practice Location Address
First Line : 50 NEW PORTLAND RD
Second Line :
City : GORHAM
State : ME
Zip : 04038-1542
Country : US
Telephone Number : 207-839-5757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2018
Last Update Date : 05/09/2018

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