Organization
SPECTRUM OT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEANA M KANE OTR/L (PRESIDENT/OWNER)
(207) 333-3678
Entity
Organization
Contact information
Practice address
475 PLEASANT ST, UNIT 23, LEWISTON, ME 04240-3951
(207) 333-3678
(207) 333-3679
Mailing address
PO BOX 2303, LEWISTON, ME 04241-2303
(207) 333-3678
(207) 333-3679
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
TO2975
ME
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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