Organization
THE COUNTY OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASSIE JO LOVELY CLARK MS,OTR/L (OWNER)
(207) 227-6538
Entity
Organization
Contact information
Practice address
884 GRIFFIN RIDGE RD, MAPLETON, ME 04757-4149
(207) 227-6538
Mailing address
884 GRIFFIN RIDGE RD, MAPLETON, ME 04757-4149
(207) 227-6538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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