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Individual

MS. ELISABETH GERALYN HOLDSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA, COTA/L

Contact information

Practice address
895 PORTLAND ROAD, SACO, ME 04072
(207) 439-5104
(207) 571-8134
Mailing address
895 PORTLAND ROAD, SACO, ME 04072
(207) 439-5104
(207) 571-8134

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PA3647
ME
224Z00000X
Occupational Therapy Assistant
0A2499
ME
225200000X
Physical Therapy Assistant
Primary
PA3647
ME

Other

Enumeration date
03/22/2011
Last updated
04/15/2011
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