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Individual

ANGEL GAYE CAREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
204 WASHINGTON ST, BREWER, ME 04412-1322
(207) 942-5216
Mailing address
204 WASHINGTON ST, BREWER, ME 04412-1322
(207) 942-5216

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
03376
MA
224Z00000X
Occupational Therapy Assistant
Primary
OA2425
ME

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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