Individual
CAITLIN J. BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
85 MIDDLE RD, CUMBERLAND, ME 04021-3707
(207) 829-8007
Mailing address
85 MIDDLE RD, CUMBERLAND, ME 04021-3707
(207) 829-8007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2703
ME
Other
Enumeration date
11/05/2012
Last updated
03/12/2020
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