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Individual
MR. TIM SPAULDING
Active
Individual
MR. TIM SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1472
ME
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1472
ME
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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