Individual
BRIDGETTE AILEEN CHALILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
78 MAIN RD, MILFORD, ME 04461-3605
(207) 947-7700
Mailing address
11 NORWAY RD, BANGOR, ME 04401-5817
(207) 947-3737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3391
ME
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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