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Organization

OPTIONS IN THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWENDOLYN J. SIMONS (REGISTERED AGENT)
(207) 205-2045
Entity
Organization

Contact information

Practice address
14 HEADSTART AVENUE, DOVER-FOXCROFT, ME 04426-0324
(207) 564-0406
Mailing address
PO BOX 324, DOVER FOXCROFT, ME 04426-0324
(207) 564-0406
(207) 564-0405

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT933
ME
225X00000X
Occupational Therapist
Primary
OT125
ME

Other

Enumeration date
09/22/2009
Last updated
03/09/2012
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