MEDICARE: MS. DIANE MARIE DUMAIS PT, MS

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
1	225100000X	Physical Therapist	1186	NH

General Provider Information

NPI Number	:	1972638518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANE MARIE DUMAIS PT, MS

Provider Business Mailing Address
First Line	:	8 PINE ST
Second Line	:
City	:	EPSOM
State	:	NH
Zip	:	03234-4266
Country	:	US
Telephone Number	:	603-463-8056
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 COMMERCE PARK N STE 1B
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6950
Country	:	US
Telephone Number	:	603-644-8334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	11/09/2023

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