Individual
HEATHER REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ROBERTS CEMETERY RD, VINALHAVEN, ME 04863
(207) 863-9314
Mailing address
144 E BOSTON RD, VINALHAVEN, ME 04863-4006
(207) 863-2031
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
399432
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432281100
MAINECARE
ME
Enumeration date
05/01/2009
Last updated
05/01/2009
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