Individual
REBECCA MARIE DECOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20 JAMESON HILL RD, OLD ORCHARD BEACH, ME 04064-1606
(207) 934-2891
Mailing address
40 FOX RUN ROAD, GRAY, ME 04039
(207) 615-3777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2836
ME
Other
Enumeration date
02/18/2014
Last updated
07/21/2022
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