Individual
REBECCA JEAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1 ENTERPRISE DRIVE, BIDDEFORD, ME 04005-0400
(207) 981-8001
Mailing address
1 ENTERPRISE DRIVE, BIDDEFORD, ME 04005
(207) 991-1801
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1893
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432018399
—
ME
Enumeration date
01/24/2007
Last updated
09/21/2023
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