Individual
SUSAN SHERSHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
56 BAYSIDE RD, EDNA DRINKWATER SCHOOL, NORTHPORT, ME 04849-4435
(207) 338-3430
Mailing address
6 MORTLAND RD, RSU20 SPECIAL SERVICES OFFICE, SEARSPORT, ME 04974-3332
(207) 548-6643
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
66
ME
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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