Individual
KAYLEY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 TRAILS END RD, WINDHAM, ME 04062-7307
(207) 233-7373
Mailing address
37 SOUTH ST, FREEPORT, ME 04032-1513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3802
ME
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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