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Organization

ALL KIDS IN ACTION

Active
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Organization

ALL KIDS IN ACTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA FULLER SPENCE OTR/L (SOLE PROPRIETOR)
(207) 754-9394
Entity
Organization

Contact information

Practice address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 754-9394
Mailing address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 754-9394

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OA2147
ME
224Z00000X
Occupational Therapy Assistant
OA2478
ME
225XP0200X
Pediatric Occupational Therapist
Primary
OT396
ME

Other

Enumeration date
12/13/2010
Last updated
12/22/2011
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