Individual
RACHAEL AMY SIEGEL-BERELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 GANNETT DR, SOUTH PORTLAND, ME 04106-6913
(207) 661-6703
Mailing address
236 GANNETT DR, SOUTH PORTLAND, ME 04106-6913
(207) 661-6703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3708
ME
225X00000X
Occupational Therapist
OT7308
ME
Other
Enumeration date
07/08/2019
Last updated
07/14/2021
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