Individual
KIMBERLY WS WELIKADAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
36 WORKMAN TER, LINCOLN, ME 04457-1162
(207) 794-6534
Mailing address
4518 BENNOCH RD, ALTON, ME 04468-4017
(207) 939-6150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2627
ME
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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