Individual
JUSTINE RENADETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
895 PORTLAND RD, SACO, ME 04072-9673
(207) 439-5104
Mailing address
895 PORTLAND RD, SACO, ME 04072-9673
(207) 439-5104
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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