Individual
CARMELA MARIE WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 874-1125
(207) 874-1127
Mailing address
456 NORTH RD, YARMOUTH, ME 04096-7500
(207) 874-1125
(207) 874-1127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1539
ME
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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