Individual
ERIN FANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
20 NEW ORCHARD LANE, COLUMBIA FALLS, ME 04623
(315) 489-4859
Mailing address
PO BOX 266, COLUMBIA FALLS, ME 04623-0266
(315) 489-4859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3218
ME
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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