Individual
SOPHIA MARIE STANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20 EAST AVE, LEWISTON, ME 04240-6652
(207) 241-0157
Mailing address
778 HALLOWELL LITCHFIELD RD, WEST GARDINER, ME 04345-7108
(207) 724-7293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
457000
ME
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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