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Organization

O.T. TO PLAY

Active
Other names
O.T. to Learn
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA L BEAUCHESNE OTR/L (CO OWNER)
(207) 739-2242
Entity
Organization

Contact information

Practice address
18 GROVE ST, NORWAY, ME 04268-5610
(207) 739-2242
(207) 739-2466
Mailing address
PO BOX 51, WEST PARIS, ME 04289-0051
(207) 739-2242
(207) 739-2466

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS1234
ME
224Z00000X
Occupational Therapy Assistant
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist
SP322
ME
251C00000X
Developmentally Disabled Services Day Training Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134830000
ME
05
134830100
ME
05
433373200
ME
05
433961000
ME
Enumeration date
03/28/2007
Last updated
04/29/2009
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