Individual
KELSEY CUSKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 WHITE PINE RD STE C, HERMON, ME 04401-0258
(207) 355-1550
Mailing address
19 WHITE PINE RD STE C, HERMON, ME 04401-0258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3528
ME
Other
Enumeration date
10/24/2018
Last updated
05/25/2023
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