Provider Demographics
NPI:1215734728
Name:CINQUEGRANA, FELICIA GRACE
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:GRACE
Last Name:CINQUEGRANA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 GOOSEPECKER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04941-4010
Mailing Address - Country:US
Mailing Address - Phone:207-322-9704
Mailing Address - Fax:
Practice Address - Street 1:430 GOOSEPECKER RIDGE RD
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:ME
Practice Address - Zip Code:04941-4010
Practice Address - Country:US
Practice Address - Phone:207-322-9704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist