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Individual

DR. POLYXENIA J PANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
OTD

Contact information

Practice address
32 HALL ST, SOUTH PORTLAND, ME 04106-3315
(617) 435-0744
Mailing address
32 HALL ST, SOUTH PORTLAND, ME 04106-3315
(617) 435-0744

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13707
MA
225X00000X
Occupational Therapist
Primary
OT4102
ME
225XP0200X
Pediatric Occupational Therapist
OT4102
ME

Other

Enumeration date
11/16/2021
Last updated
07/16/2024
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