Organization
KIDS IN ACTION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M MAZZOLA OTRL (PRESIDENT)
(207) 582-8400
Entity
Organization
Contact information
Practice address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 582-8400
(207) 582-8401
Mailing address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 582-8400
(207) 582-8401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/20/2007
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