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Individual

MICHAEL SEVERANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 941-8400
Mailing address
3875 UNION ST APT C, LEVANT, ME 04456-4499
(207) 385-5053

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4522
ME

Other

Enumeration date
09/04/2023
Last updated
09/04/2023
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