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Individual

MS. HEATHER MARIE SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
329 MAINE ST, BRUNSWICK, ME 04011-3310
(207) 373-2195
Mailing address
77 JORDAN AVE, BRUNSWICK, ME 04011-1614
(207) 620-6173

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/26/2007
Last updated
08/07/2012
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