Individual
CASEY WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1075
(207) 541-6500
Mailing address
108 OAKLAND AVE, WESTBROOK, ME 04092-4026
(207) 479-1963
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA3740
ME
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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