Individual
MRS. MEGAN LYNN KINSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
60 GARY L MAIETTA PKWY, UNIT 16, SOUTH PORTLAND, ME 04106-7818
(207) 518-9290
Mailing address
60 GARY L MAIETTA PKWY, UNIT 16, SOUTH PORTLAND, ME 04106-7818
(207) 518-9290
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2687
ME
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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