Jean Diciancia Anderson, P.T.
Individual provider Active NPI Physical Therapist · Waterville, ME
NPI 1285868091 · NPPES record last updated May 7, 2009
Key facts
- NPI
- 1285868091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P.T.750 (ME)
- Practice address
- 200 Kennedy Memorial Drive
Rehab Works Dept.
Waterville, ME 04901 - Phone
- (207) 861-3360
- Fax
- (207) 877-0897
- NPI assigned
- May 7, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.T.750 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P.T.750 | ME | Yes |
Addresses
Primary practice location
200 Kennedy Memorial Drive
Rehab Works Dept.
Waterville, ME 04901
Mailing address
129 Drake Hill Rd.
Albion, ME 04910
Phone (207) 437-2110
Other providers in Waterville, ME
- Christina M Altstatt
- Amanda Wohl, PT, DPT, LLC
- American Dental Associates
- Mishaal Amjad
- Janet Anderson-Murch
- Robert Thomas Anderson
- Ann Traynor, MD, PA
- Anna V. O'Keefe, DMD, P.a.
- Anne Pratt Giroux Audiology
- Michael J Antoniello
All providers in Waterville, ME · Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.