Individual
BAXTER P PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 CANNON HILL RD, LIMERICK, ME 04048-3311
(207) 636-6423
Mailing address
16 CANNON HILL RD, LIMERICK, ME 04048-3311
(207) 636-6423
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
19673
CA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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