Individual
MR. TIM SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
HAWTHORNE HOUSE, 6 OLD COUNTY RD, FREEPORT, ME 04032
(207) 865-4782
Mailing address
21 OCEAN VIEW AVE, SOUTH PORTLAND, ME 04106-3010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1472
ME
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1472
ME
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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