Individual
COREYSHA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18 MILLER ST, WOOLWICH, ME 04579-4573
(207) 322-5375
Mailing address
18 MILLER ST, WOOLWICH, ME 04579-4573
(207) 322-5375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0A2368
ME
Other
Enumeration date
04/29/2010
Last updated
07/06/2012
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