Individual
KELLIE J HUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(207) 487-9293
(207) 487-4594
Mailing address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(207) 487-9293
(207) 487-4594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT965
ME
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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