Individual
AUDREY FRANCES AVERILL BLAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT/L
Contact information
Practice address
191 CAMDEN RD, WARREN, ME 04864-4207
(207) 273-8100
Mailing address
530 W ALNA RD, ALNA, ME 04535-3828
(207) 350-1093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TO2719
ME
Other
Enumeration date
01/20/2013
Last updated
01/20/2013
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