Individual
SVITLANA WOODFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12 GROVE ST, GORHAM, ME 04038-1169
(559) 930-5178
Mailing address
12 GROVE ST, GORHAM, ME 04038-1169
(559) 930-5178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
024201
NY
225X00000X
Occupational Therapist
13313-AH-OT
MA
225X00000X
Occupational Therapist
2945
NH
225X00000X
Occupational Therapist
Primary
OT3718
ME
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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