Individual
VERONICA WALLACE-EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WORKMAN TER, LINCOLN, ME 04457-1162
(207) 794-6025
Mailing address
201 HUSSON AVE APT R6, BANGOR, ME 04401-3241
(207) 402-4345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3720
ME
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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