Individual
MICHELLE E SEGOVIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 699-5531
Mailing address
91 OAK ST, WESTBROOK, ME 04092-4316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2768
ME
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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