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1164886875
SUSAN WALSH KELLEY
FREEPORT, ME
NPI
1164886875
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Former Name
SUSAN MARIE WALSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT424)
Enumeration Date
2016-04-08
Last Update Date
2016-04-08
Business Address
-- SUSAN WALSH KELLEY OTR/L
174 S FREEPORT RD SUITE 2A
FREEPORT, ME 04032-6145
Phone number: 855-239-3556
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Mailing Address
-- SUSAN WALSH KELLEY OTR/L
4 BAYVIEW AVE
SOUTH PORTLAND, ME 04106-3901
Phone number: 207-332-6547
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