Individual
TIMOTHY L CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
108 PLEASANT ST, FORT KENT, ME 04743-1576
(207) 834-3481
(207) 834-7357
Mailing address
PO BOX 386, CARIBOU, ME 04736-0386
(207) 551-8383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT276
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035295
ANTHEM INDIVIDUAL ID#
ME
05
—
134990099
—
ME
Enumeration date
08/01/2006
Last updated
08/17/2010
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