Individual
MRS. AMBER ELIZABETH BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
105 MECHANIC STREET, CAMDEN, ME 04843
(207) 236-2573
Mailing address
PO BOX 72, CUSHING, ME 04563
(207) 354-0679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1414
ME
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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