# MINDFUL MEALTIMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265977623
- **Authorized official:** MICHELLE SEGOVIAS OTR/L (OWNER)
- **Authorized official phone:** (207) 776-1182

## Contact information

- **Practice address:** 510 MAIN ST, GORHAM, ME 04038-1339
- **Practice address phone:** (207) 776-1182
- **Mailing address:** 510 MAIN ST, GORHAM, ME 04038-1339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | MEOT2768 | ME | Yes |

## Other

- **Enumeration date:** 12/21/2016
- **Last updated:** 12/21/2016