Individual
MATTHEW TOMOLONIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
117 BENNOCH RD, ORONO, ME 04473-3620
(207) 866-4914
Mailing address
147 CARDVILLE RD, GREENBUSH, ME 04418-3309
(207) 866-4914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2151
ME
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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