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1164208427
MICHAEL SEVERANCE
BANGOR, ME
NPI
1164208427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT4522)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
MICHAEL SEVERANCE OTR/L
758 BROADWAY
BANGOR, ME 04401-3224
Phone number: 207-941-8400
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Mailing Address
MICHAEL SEVERANCE OTR/L
3875 UNION ST APT C
LEVANT, ME 04456-4499
Phone number: 207-385-5053
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