Individual
AUDREY ROSE COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DUNAWAY DR, SANFORD, ME 04073-5143
(207) 324-7955
Mailing address
34 FESSENDEN ST APT 2, PORTLAND, ME 04103-4818
(603) 325-2109
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TO3501
ME
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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