Individual
MIA CAMPANALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
77 BATES ST, LEWISTON, ME 04240-7637
(207) 795-2122
Mailing address
25 SAVOY ST APT 3, PORTLAND, ME 04103-5023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4478
ME
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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