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Individual

ERIC ROBERTS STUNKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2430
(207) 775-3446
Mailing address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2430
(207) 775-3446

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/26/2012
Last updated
04/11/2014
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