Individual
ROANN J HARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
587 OCEAN AVE, PORTLAND, ME 04103-2701
(207) 871-1582
(207) 871-9276
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1197
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033269
NATIONAL CERIFICATION
—
05
—
252470099
—
ME
Enumeration date
10/24/2006
Last updated
09/13/2011
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