Wallingford, Kimberly Diane

Wallingford, Kimberly Diane is an individual health care provider with primary practice located at 114 Bath Rd Ste 201 , Brunswick ME 04011-2606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wallingford, Kimberly Diane can be contacted via phone (207) 884-8923.

Contact Information

Primary practice address
114 Bath Rd Ste 201 Brunswick ME 04011-2606
Phone: (207) 884-8923
Fax: (207) 884-8972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4737 Maine

Profile Details

NPI number 1104369164
LBN Legal business name Wallingford, Kimberly Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2016
Last updated Aug 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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