Individual
KELSI GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SPRING STREET, WESTBROOK, ME 04092
(207) 856-1230
Mailing address
1458 WASHINGTON AVENUE, PORTLAND, ME 04103
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT2090
ME
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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