Individual
MS. TAMMY LEE BICKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4 WINDING WAY, SCARBOROUGH, ME 04074-8658
(207) 883-1211
(207) 883-1211
Mailing address
344 PREBLE ST, SOUTH PORTLAND, ME 04106-2236
(207) 899-0171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0680
NH
225X00000X
Occupational Therapist
3584
MA
225X00000X
Occupational Therapist
Primary
OT 1002
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431773599
—
ME
Enumeration date
08/31/2006
Last updated
10/07/2009
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