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Organization

CHILD DEVELOPMENT SERVICES SEARCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ID GOSCINSKI (DIRECTOR)
(207) 725-6365
Entity
Organization

Contact information

Practice address
35A GURNET ROAD, BRUNSWICK, ME 04011-2744
(207) 725-6365
(207) 725-4211
Mailing address
35A GURNET ROAD, BRUNSWICK, ME 04011-2744
(207) 725-6365
(207) 725-4211

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary
261QP2000X
Physical Therapy Clinic/Center
PT2948
ME

Other

Enumeration date
06/02/2009
Last updated
06/11/2009
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