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Individual

AUTUMN HOPE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28 GILMAN PLZ, BANGOR, ME 04401-3561
(207) 990-0162
Mailing address
110 ROCKY RIDGE DR UNIT 15, HERMON, ME 04401-2755
(207) 432-1599

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/18/2023
Last updated
08/18/2023
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