SHANE BALL

ELLSWORTH, ME
NPI1437715034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ME  OA3627)
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
SHANE BALL COTA
190 BANGOR RD
ELLSWORTH, ME 04605-3258
Phone number: 207-667-7108
Mailing Address
SHANE BALL COTA
190 BANGOR RD
ELLSWORTH, ME 04605-3258
Phone number: 207-667-7108
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