Individual
MS. CARRIE POLLARD DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
17 WEST ST, FREEPORT, ME 04032-1121
(207) 865-2856
(207) 865-2855
Mailing address
17 WEST ST, FREEPORT, ME 04032-1121
(207) 865-2856
(207) 865-2855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT98
ME
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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