ALICEN MARY JOHNSON

SOUTH PORTLAND, ME
NPI1487010492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ME  OT3048)
Enumeration Date2016-01-06
Last Update Date2016-01-06
Business Address
-- ALICEN MARY JOHNSON OT
236 GANNETT DR
SOUTH PORTLAND, ME 04106-6913
Phone number: 207-661-3600
Mailing Address
-- ALICEN MARY JOHNSON OT
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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