Individual
MRS. CHRISTINE MARIE LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
115 LEARNING LN, FARMINGTON, ME 04938-7039
(207) 778-9517
Mailing address
21 KEEP RD, JAY, ME 04239-4045
(207) 779-6100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1939
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1939
PROFESSIONAL AND FINANCIAL REGULATION
ME
Enumeration date
08/02/2010
Last updated
08/02/2010
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