Individual
TODD METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1321 WASHINGTON AVE, DEV. SERVICES OF PORTLAND, NORTHPORT PROFESSIONAL BLDG, PORTLAND, ME 04103-3636
(207) 712-5284
Mailing address
60 VINCENT ST, SOUTH PORTLAND, ME 04106-3950
(207) 712-5284
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 1418
ME
Other
Enumeration date
08/11/2006
Last updated
07/09/2007
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