Individual
KRISTEN ELIZABETH SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
598 SEARSMONT RD, APPLETON, ME 04862-6405
(207) 785-2576
Mailing address
598 SEARSMONT RD, APPLETON, ME 04862
(207) 785-2576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1745
ME
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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