Individual
DAKOTA KARLEEN WARREN BRICHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
73 JUSTICE WAY, GORHAM, ME 04038
(207) 222-1050
Mailing address
12 PLUMMER RD, GORHAM, ME 04038
(207) 222-1050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4227
ME
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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