Individual
AMANDA KATHERINE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
420 FRANKLIN ST, RUMFORD, ME 04276-2104
(207) 369-1099
Mailing address
420 FRANKLIN ST, RUMFORD, ME 04276-2104
(207) 369-1099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3006
ME
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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