Individual
MRS. STACEY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
67 PINE POINT RD, SCARBOROUGH, ME 04074-8813
(207) 883-2468
Mailing address
22 LITTLE OSSIPEE LANDING, NORTH WATERBORO, ME 04061
(207) 939-4509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1556
ME
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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