Organization
RAVEN HILL INTEGRATED THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY KIRK MOLATCH OTR/L (PRESIDENT)
(207) 664-6116
Entity
Organization
Contact information
Practice address
185 STATE ST, SUITES C&D, ELLSWORTH, ME 04605-1830
(207) 664-6116
(207) 664-6118
Mailing address
878 SUGAR HILL RD, EASTBROOK, ME 04634-4030
(207) 664-6116
(207) 664-6118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OA633
ME
225000000X
Orthotic Fitter
OT1016
ME
225700000X
Massage Therapist
MT2661
ME
225X00000X
Occupational Therapist
OT1016
ME
225X00000X
Occupational Therapist
Primary
OT307
ME
225XE1200X
Ergonomics Occupational Therapist
OT1016
ME
225XH1200X
Hand Occupational Therapist
OT1016
ME
225XH1300X
Human Factors Occupational Therapist
OT1016
ME
335E00000X
Prosthetic/Orthotic Supplier
OT1016
ME
Other
Enumeration date
06/03/2006
Last updated
02/06/2008
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