Individual
MIKENZIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
340 BATH RD, BRUNSWICK, ME 04011-2651
(877) 407-3422
(877) 407-4329
Mailing address
212 BROWN ST APT 304, WESTBROOK, ME 04092-3743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4520
ME
Other
Enumeration date
12/15/2023
Last updated
04/16/2025
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