Individual
BETHANY FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
85 MIDDLE RD, CUMBERLAND, ME 04021-3707
(207) 829-8007
(207) 829-8008
Mailing address
85 MIDDLE RD, CUMBERLAND, ME 04021-3707
(207) 829-8007
(207) 829-8008
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2356
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435237599
—
ME
Enumeration date
03/04/2010
Last updated
06/23/2011
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