Individual
MRS. STACY ANNE MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
153 US ROUTE 1 STE 6, SCARBOROUGH, ME 04074-9053
(207) 831-8633
Mailing address
10 BOYNTON BROOK RD, SACO, ME 04072-9379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT827
ME
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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