Individual
DIANE ALICIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
18 MILLER ST, WOOLWICH, ME 04579-4573
(207) 443-8912
Mailing address
30 ROLLINS MOUNTAIN WAY, WOOLWICH, ME 04579-4472
(207) 442-7812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT676
ME
Other
Enumeration date
08/14/2012
Last updated
08/15/2012
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