Individual
MRS. LAURA M WITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
59 W FRONT ST, SKOWHEGAN, ME 04976-1126
(207) 474-9300
(207) 474-0029
Mailing address
59 W FRONT ST, SKOWHEGAN, ME 04976-1126
(207) 474-9300
(207) 474-0029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA989
ME
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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