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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