Individual
ELIZABETH ANN RADLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
37 POND ST, BANGOR, ME 04401-4641
(207) 945-4334
Mailing address
10 WHITAKER RD, TROY, ME 04987-3430
(207) 948-3320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2491
ME
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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