Individual
CARYN T BIRSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
441 MAIN ST, BIDDEFORD, ME 04005-2140
(207) 283-1954
Mailing address
PO BOX 2500, LEWISTON, ME 04243-2500
(207) 784-2554
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1766
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061298
BC/BS
ME
01
—
1699752014
HPHC
ME
05
—
1699752014
—
ME
01
—
3686741
AETNA
ME
Enumeration date
12/28/2005
Last updated
11/03/2011
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