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Individual

MATTHEW TIMOTHY SOUCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOT

Contact information

Practice address
2263 ROUTE 2, HERMON, ME 04401-0605
(207) 848-9009
(207) 404-2562
Mailing address
2263 ROUTE 2, HERMON, ME 04401-0605
(207) 848-9009
(207) 404-2562

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3535
ME

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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