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Individual

JOAN ELIZABETH RICHERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
38 WILLOW WAY, BREWER, ME 04412-1339
(207) 989-5848
Mailing address
38 WILLOW WAY, BREWER, ME 04412-1339
(207) 989-5848

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1323
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048711
ANTHEM PIN
01
2410795
CIGNA PIN
05
291600000
ME
Enumeration date
03/08/2007
Last updated
08/21/2009
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