Individual
KATHLEEN FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WORKMAN TER, LINCOLN, ME 04457-1162
(207) 794-6534
Mailing address
3 BODWELL ST, OLD TOWN, ME 04468-1101
(214) 202-2123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215195
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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