Provider Demographics
NPI:1972638518
Name:DUMAIS, DIANE MARIE (PT, MS)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:MARIE
Last Name:DUMAIS
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:MARIE
Other - Last Name:CAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8 PINE ST
Mailing Address - Street 2:
Mailing Address - City:EPSOM
Mailing Address - State:NH
Mailing Address - Zip Code:03234-4266
Mailing Address - Country:US
Mailing Address - Phone:603-463-8056
Mailing Address - Fax:
Practice Address - Street 1:10 COMMERCE PARK N STE 1B
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6950
Practice Address - Country:US
Practice Address - Phone:603-644-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist