Individual
STACIE L. PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
227 LIBBY AVE, GORHAM, ME 04038-2617
(207) 856-1230
Mailing address
227 LIBBY AVE, GORHAM, ME 04038-2617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1124
ME
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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