Individual
MISS KRISTINA GIBSON MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
180 CAT MOUSAM RD, KENNEBUNK, ME 04043-6943
(207) 939-0148
Mailing address
180 CAT MOUSAM RD, KENNEBUNK, ME 04043-6943
(207) 939-0148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1451
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206100000
—
ME
Enumeration date
05/09/2007
Last updated
02/03/2014
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