Individual
ANNE-MARIE RUTH PROVENCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
400 NORTH ST STE 2, SACO, ME 04072-1867
(207) 282-7121
Mailing address
24 BRUNELLE AVE, SANFORD, ME 04073-5532
(207) 299-2803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4896
ME
Other
Enumeration date
09/05/2019
Last updated
10/06/2025
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