SHANE SMITH

PORTLAND, ME
NPI1013329291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2014-05-22
Last Update Date2014-05-22
Business Address
-- SHANE SMITH OT
587 OCEAN AVE
PORTLAND, ME 04103-2701
Phone number: 207-871-1211
Mailing Address
-- SHANE SMITH OT
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number:
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