Individual
COURTNEY PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2620
Mailing address
559 KNOWLTON CORNER RD, FARMINGTON, ME 04938-6205
(207) 671-4487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3783
ME
225X00000X
Occupational Therapist
TO3697
ME
Other
Enumeration date
06/17/2019
Last updated
11/08/2022
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