MICHELLE FORBES SUMMERVILLE

ARUNDEL, ME
NPI1245974708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0008X Pediatrics, Neurodevelopmental Disabilities
(Licence: ME  PA4434)
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
MICHELLE FORBES SUMMERVILLE
COASTAL KIDS OT 1222 PORTLAND RD
ARUNDEL, ME 04046
Phone number: 207-337-1058
Mailing Address
MICHELLE FORBES SUMMERVILLE
77 ROBERTS POND RD
LYMAN, ME 04002-6714
Phone number: 207-544-3925