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Individual

KATIE LYNN TODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 TEXAS AVE, BANGOR, ME 04401-4324
(207) 947-4557
Mailing address
103 TEXAS AVE, BANGOR, ME 04401-4324
(207) 947-4557

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3269
ME

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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