Individual
KELLY LYNNE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
11 EAGLE LAKE RD, BAR HARBOR, ME 04609-1043
(207) 288-5037
Mailing address
11 EAGLE LAKE RD, BAR HARBOR, ME 04609-1043
(207) 288-5037
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1881
ME
Other
Enumeration date
10/22/2010
Last updated
10/29/2010
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