Organization
RIVER BIRCH OCCUPATIONAL THERAPY
Active
Organization
RIVER BIRCH OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE B WYMAN OTR/L (OCCUPATIONAL THERAPIST)
(207) 468-1293
Entity
Organization
Contact information
Practice address
1236 PORTLAND RD, ARUNDEL, ME 04046-8104
(207) 468-1293
Mailing address
1236 PORTLAND RD, ARUNDEL, ME 04046-8104
(207) 468-1293
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT304
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366409351
NPI
—
05
—
ID 19720000
—
ME
Enumeration date
05/10/2009
Last updated
05/10/2009
Update your record
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