Organization
PINE STATE LOW VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY A MACKINNON OTR L (OWNER AND PROVIDER)
(207) 329-2497
Entity
Organization
Contact information
Practice address
19 OLD COLONY LN, CUMBERLAND CENTER, ME 04021-3053
(207) 329-2497
(207) 286-3218
Mailing address
19 OLD COLONY LN, CUMBERLAND CENTER, ME 04021-3053
(207) 329-2497
(207) 286-3218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
04/14/2008
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