Individual
GINA LONGBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3208 CAMDEN RD, WARREN, ME 04864-4124
(207) 273-8100
(207) 273-8103
Mailing address
3208 CAMDEN RD, WARREN, ME 04864-4124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2818
ME
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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