Individual
FELECIA LYNN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 784-0108
Mailing address
13 GILMAN ST, AUGUSTA, ME 04330-5320
(207) 621-9724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1538
ME
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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