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Individual

LILY BERNTSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
775 N MAIN ST, WINTERPORT, ME 04496-3414
(207) 613-6494
(401) 329-3874
Mailing address
43 GLENWOOD DR APT 2, BANGOR, ME 04401-2981
(207) 852-2375

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT4861
ME

Other

Enumeration date
07/29/2025
Last updated
07/29/2025
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