Nicole Denise Desjardins
Physical Therapist - Geriatrics
440 Minot Ave
Auburn
, Maine 04210-4332
Nicole Denise Desjardins
Physical Therapist - Geriatrics
440 Minot Ave
Auburn
, Maine 04210-4332
(207) 795-6330
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Nicole Denise Desjardins
- 18 Caron St
- Lewiston, ME
- Zip : 04240-6446
- Phone : (207) 795-6330
Second Address
- Nicole Denise Desjardins
- 440 Minot Ave
- Auburn, ME
- Zip : 04210-4332
- Phone : (207) 784-3573
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT2877 | ME |
National Provider Identifier
| NPI | 1326209214 |
|---|---|
| Provider Name | Nicole Denise Desjardins |
| First Address | Lewiston, ME 04240-6446 |
| Second Address | Auburn, ME 04210-4332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 23/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.