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Individual

MS. MARY-ELLEN BAILEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
404 STATE ST, STE 400, BANGOR, ME 04401-6623
(207) 942-7630
(207) 942-5686
Mailing address
404 STATE ST, STE 400, BANGOR, ME 04401-6623
(207) 942-7630
(207) 942-5686

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1533
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046064
ANTHEM BCBS ID#
ME
Enumeration date
06/13/2005
Last updated
07/08/2007
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