Individual
MALLORY RAE KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
17 SCHOOL ST, RANDOLPH, ME 04346-5143
(207) 588-2699
Mailing address
30 KYESLAND AVE, JAY, ME 04239-4324
(207) 931-5091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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