Individual
MRS. REBECCA FENLASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
188 EASTERN AVE, AUGUSTA, ME 04330-5928
(207) 622-3121
(207) 623-7666
Mailing address
188 EASTERN AVE, AUGUSTA, ME 04330-5928
(207) 622-3121
(207) 623-7666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1794
ME
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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