Individual
CORY R PELKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OCC-T
Contact information
Practice address
22 STATION AVE STE 201, BRUNSWICK, ME 04011-2092
(207) 721-8411
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1650
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578826046
—
ME
Enumeration date
06/20/2012
Last updated
09/07/2021
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