WADE FRECKER AMBROSE

BELFAST, ME
NPI1982906137
Former NameWADE AMBROSE FRECKER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ME  oa2353)
Enumeration Date2010-11-21
Last Update Date2015-06-03
Business Address
-- WADE FRECKER AMBROSE COTA/L
125 CITY POINT RD
BELFAST, ME 04915-7330
Phone number: 207-338-9999
Mailing Address
-- WADE FRECKER AMBROSE COTA/L
125 CITY POINT RD
BELFAST, ME 04915-7330
Phone number: 207-338-9999
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