Individual
RAECHELL KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
887 CONGRESS ST STE 300, PORTLAND, ME 04102-3103
(207) 662-5555
(207) 662-5526
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2969
ME
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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