Individual
AUDRIE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 MAIN STREET, GREENE, ME 04236
(207) 689-4753
Mailing address
141 MAIN STREET, GREENE, ME 04236
(207) 689-4753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0A724
ME
Other
Enumeration date
06/17/2015
Last updated
11/09/2015
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