| Doctor Name: | MS. JEAN DICIANCIA ANDERSON |
| NPI Number: | 1285868091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | P.T.750 |
| Business Practice Address: | 200 Kennedy Memorial Drive Rehab Works Dept. Waterville, ME - 04901 |
| Business Phone Number: | 2078613360 |
| Business Fax Number: | 2078770897 |
| Mailing Address: | 129 Drake Hill Rd., ALBION |
| State: | ME |
| Postal Code: | 04910 |
| Phone Number: | 2074372110 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 05/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | P.T.750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |