Individual
KIM-MARIE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
119 LIVERMORE FALLS RD, FARMINGTON, ME 04938-6241
(207) 778-6591
Mailing address
700 SHAW HILL RD, INDUSTRY, ME 04938-4246
(207) 778-0725
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AO1517
ME
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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