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Individual

ERICA MARIE BOSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
81 SIMPLICITY WAY, POLAND, ME 04274-5119
(207) 998-9065

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1738
ME
225X00000X
Occupational Therapist
OT1738
ME

Other

Enumeration date
03/20/2007
Last updated
01/19/2021
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