Provider Demographics
NPI:1881802551
Name:DINOFRIO, LEEANN HILDA (PT)
Entity type:Individual
Prefix:MRS
First Name:LEEANN
Middle Name:HILDA
Last Name:DINOFRIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LEEANN
Other - Middle Name:HILDA
Other - Last Name:SEITZINGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6 GLEN COVE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856
Mailing Address - Country:US
Mailing Address - Phone:207-593-5500
Mailing Address - Fax:207-593-5266
Practice Address - Street 1:4 GLEN COVE DR
Practice Address - Street 2:PENBAY MEDICAL CENTER PHYSICIANS BUILDING
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-593-5500
Practice Address - Fax:207-593-5266
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2722225100000X
PAPT005591L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist