Individual
TEAGUE GRUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 283-7226
(207) 294-8188
Mailing address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 283-7226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT4131
ME
Other
Enumeration date
09/26/2017
Last updated
01/20/2022
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