Individual
MISS KERSTIN RENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
100 FORE ST, PORTLAND, ME 04101-4879
(207) 808-0080
Mailing address
100 FORE ST, PORTLAND, ME 04101-4879
(207) 808-0080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3250
ME
Other
Enumeration date
12/28/2019
Last updated
04/22/2026
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