Individual
MRS. ASHLEY PANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 VA CENTER, AUGUSTA, ME 04330
(207) 623-8411
Mailing address
126 READFIELD RD, MANCHESTER, ME 04351-3214
(508) 314-1894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2611
ME
Other
Enumeration date
08/03/2012
Last updated
07/08/2015
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