Individual
MS. TAYLOR WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 ALDEN AVE, AUGUSTA, ME 04330
(207) 626-3497
Mailing address
1 ALDEN AVE, AUGUSTA, ME 04330
(207) 626-3497
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2564
ME
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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