Individual
CAITLIN SUE CHEETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17 DUMMER STREET CT, BATH, ME 04530-2727
(623) 229-0502
Mailing address
17 DUMMER STREET CT, BATH, ME 04530-2727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5860
AZ
224Z00000X
Occupational Therapy Assistant
Primary
OA3368
ME
Other
Enumeration date
06/27/2014
Last updated
03/17/2018
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