| NPI | 1225331366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA FULLER SPENCE Sole Proprietor 207-754-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT396) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OA2478) |
| 224Z00000X Occupational Therapy Assistant (Licence: ME OA2147) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-12-22 |