Individual
CHRISTINA MARIE COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
130 WESCOTT RD, SOUTH PORTLAND, ME 04106-3420
(207) 871-0555
Mailing address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 441-8439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
357315
ME
Other
Enumeration date
07/01/2016
Last updated
02/27/2019
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