Individual
KASSIDY MARIE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 485-2093
Mailing address
385 LINE RD, LEEDS, ME 04263-3627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4100
ME
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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