Individual
MILESSA JOY GATHERIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 BENNOCH RD, ORONO, ME 04473-3620
(207) 866-4914
Mailing address
117 BENNOCH RD, ORONO, ME 04473-3620
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2551
ME
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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