Individual
KATHLEEN A DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 ELM ST APT 1, ELLSWORTH, ME 04605
(207) 991-4484
Mailing address
3 ELM ST APT 1, ELLSWORTH, ME 04605-2043
(207) 991-4484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1326
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11315041
ANTHEM
ME
05
—
1181930004
—
ME
Enumeration date
09/20/2006
Last updated
07/13/2018
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