Individual
MRS. DANIELLE ERIN PROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
361 US ROUTE 1, FALMOUTH, ME 04105-1345
(207) 781-4830
Mailing address
75 THORNTON AVE, SOUTH PORTLAND, ME 04106-6128
(207) 441-3352
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1898
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432123799
—
ME
Enumeration date
09/15/2006
Last updated
07/29/2008
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