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MS. RAE LYNN STACKPOOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
518 US ROUTE 1 # 14&16, KITTERY, ME 03904
(207) 361-7279
Mailing address
20 BETTY WELCH RD, YORK, ME 03909-5350
(207) 361-7279

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1600
ME

Other

Enumeration date
08/25/2016
Last updated
07/16/2018
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