Individual
AMBER CLUKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
587 N DEER ISLE RD, DEER ISLE, ME 04627-3438
(855) 390-7774
(855) 734-4666
Mailing address
1 STILES RD STE 203, SALEM, NH 03079-4804
(855) 390-7774
(855) 734-4666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TO4188
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TO4188
ME STATE OTR/L LICENSE
ME
Enumeration date
10/25/2021
Last updated
10/25/2021
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