Individual
GINA A.R. MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13 JULY ST, SANFORD, ME 04073-1909
(207) 490-7098
Mailing address
57 JAMER DR, WATERBORO, ME 04087
(207) 651-5270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0275
ME
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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