Individual
SAMANTHA HAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1434 OHIO ST, UNIT #5, BANGOR, ME 04401-2774
(207) 385-3260
Mailing address
1434 OHIO ST, UNIT #5, BANGOR, ME 04401-2774
(207) 385-3260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2556
ME
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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