Individual
SHANNON BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
189 NORTH ST, BATH, ME 04530-2229
(207) 689-4822
Mailing address
189 NORTH ST, BATH, ME 04530-2229
(207) 689-4822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2284
ME
Other
Enumeration date
08/08/2011
Last updated
05/09/2024
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