Individual
SHELLEY J PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2121
(207) 553-7166
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2101
(207) 553-7166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
970184
CO
225X00000X
Occupational Therapist
Primary
OT4487
ME
Other
Enumeration date
03/21/2007
Last updated
09/26/2025
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