IndividualActive
Andre Vigneault, PTA
NPI 1720875479 · Physical Therapy Assistant · Orono, ME
Provider details
- NPI number
- 1720875479
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PA6577 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
42 Broadway
Orono, ME 04473-4017
Phone: (207) 949-3810
Approximate (ZIP-level) locationGet directions
Mailing address
42 Broadway
Orono, ME 04473-4017
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.