Individual
KELLYE ANN WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
141 LEIGHTON ST, PITTSFIELD, ME 04967-3718
(207) 487-9293
Mailing address
67 MT VIEW DR, PLYMOUTH, ME 04969-3235
(207) 416-2327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TO2446
ME
Other
Enumeration date
10/08/2010
Last updated
01/22/2020
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