Individual
TAMARRA JAYE TOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3830
Mailing address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2352
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432470100
—
ME
Enumeration date
10/28/2009
Last updated
03/04/2015
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