Individual
MARY ANNE TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7 WILSON ST, SKOWHEGAN, ME 04976-2022
(207) 313-1419
Mailing address
7 WILSON ST, SKOWHEGAN, ME 04976-2022
(207) 313-1419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2639
ME
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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