Ethan Daigneault, PT

NPI #1063106334 in Portland, Maine

Provider Information

NPI Number: 1063106334
Entity Type: Individual
Name: Ethan Daigneault, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 22 BRAMHALL ST
City: Portland
State: Maine
ZIP Code: 04102-3134
Phone: (207) 662-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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