Individual
THERESA ANN BUBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
587 N DEER ISLE RD, DEER ISLE, ME 04627-3438
(207) 348-2351
Mailing address
PO BOX 535, CASTINE, ME 04421-0535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2068
ME
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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