DR. Madison Diane Tavares, PT

NPI #1518689959 in Kennebunk, Maine

Provider Information

NPI Number: 1518689959
Entity Type: Individual
Name: DR. Madison Diane Tavares, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 13, 2022
Last Updated: Sep 14, 2022

Practice Location

Address: 65 PORTLAND RD STE B
City: Kennebunk
State: Maine
ZIP Code: 04043-6742
Phone: (207) 439-5104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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