Individual
EMILE THOMAS CASTONGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2592
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7041
(207) 795-2592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3472
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3472
OCCUPATIONAL THERAPY LICENSE
ME
Enumeration date
01/17/2019
Last updated
01/17/2019
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