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1114399227
ETHAN LAWRENCE HIRSCH
PORTLAND, ME
NPI
1114399227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ME OT2901)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
Mr. ETHAN LAWRENCE HIRSCH MS, OTR/L
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-699-5531
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Mailing Address
Mr. ETHAN LAWRENCE HIRSCH MS, OTR/L
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-699-5531
Copy
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