Organization
SPECTRUM OCCUPATIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANA KANE OTRL (PRESIDENT OWNER)
(207) 933-2499
Entity
Organization
Contact information
Practice address
392 US ROUTE 202, MONMOUTH, ME 04259
(207) 933-2499
(207) 933-2504
Mailing address
PO BOX 2303, LEWISTON, ME 04241-2303
(207) 933-2499
(207) 933-2504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403920099
—
ME
Enumeration date
05/10/2007
Last updated
07/22/2008
Update your record
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