Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT3470 | ME |
NPI | 1316427487 |
---|---|
Provider Name | Emily R Andrews |
First Address | Turner, ME 04282-3252 |
Second Address | Bangor, ME 04401-3944 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2018 |
Last Update Date | 18/08/2018 |