Individual
TRACY LYNN PAYEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
233 SHAW'S RIDGE RD, SPRINGVALE, ME 04083-6207
(207) 432-7260
Mailing address
91 RIVER STREET, SANFORD, ME 04073
(207) 432-7260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1775
ME
Other
Enumeration date
04/26/2011
Last updated
03/16/2012
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