Organization
MINDFUL MEALTIMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SEGOVIAS OTR/L (OWNER)
(207) 776-1182
Entity
Organization
Contact information
Practice address
510 MAIN ST, GORHAM, ME 04038-1339
(207) 776-1182
Mailing address
510 MAIN ST, GORHAM, ME 04038-1339
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
MEOT2768
ME
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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