Dale Jacqueline Albert

Individual provider Active NPI Mechanotherapist · Waterville, ME

NPI 1689856486 · NPPES record last updated Dec 4, 2007

Key facts

NPI
1689856486
Entity type
Individual (NPI type 1)
Primary specialty
Mechanotherapist 172M00000X
License
9710117 (ME)
Practice address
18 Temple St
Waterville, ME 04901-6629
Phone
(207) 873-5939
Fax
(207) 872-9227
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9710117MEMDMechanotherapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 9710117 ME Yes

Addresses

Primary practice location

18 Temple St
Waterville, ME 04901-6629

Mailing address

18 Temple Street
Waterville, ME 04901
Phone (207) 873-5939

Other providers in Waterville, ME

All providers in Waterville, ME · Mechanotherapist in Maine

Sources for this page

Verify at the official NPI Registry.