Organization
SUSAN RAYCHARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RAYCHARD MOT (OWNER)
(207) 298-0071
Entity
Organization
Contact information
Practice address
20 CHAMBERLAIN WAY, KENNEBUNK, ME 04043-7299
(207) 298-0071
Mailing address
PO BOX 352, KENNEBUNK, ME 04043-0352
(207) 298-0071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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