Individual
ADAM DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
74 PARKWAY S, BREWER, ME 04412-1628
(207) 989-7300
Mailing address
31 JOE AVE, WINSLOW, ME 04901-7128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1796
ME
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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