Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3678 | MA |
NPI | 1003038993 |
---|---|
Provider Name | Linda Daigneault |
First Address | Chicopee, MA 01020 |
Second Address | Plymouth Meeting, PA 19462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |