Individual
TASHA GRADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
52 HORSE POINT RD, BELGRADE, ME 04917-3013
(207) 649-8470
Mailing address
52 HORSE POINT RD, BELGRADE, ME 04917-3013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1423
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164747838
—
ME
Enumeration date
04/06/2010
Last updated
02/07/2020
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