Individual
KATHRYN TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 WINDING WAY, SOUTH PORTLAND, ME 04106-6846
(207) 408-1110
Mailing address
99 WINDING WAY, SOUTH PORTLAND, ME 04106-6846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2259
ME
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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