Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT1288 | ME |
NPI | 1104323435 |
---|---|
Provider Name | Karen L Sinclair |
First Address | Dover Foxcroft, ME 04426-3752 |
Second Address | Dover Foxcroft, ME 04426-3752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2018 |
Last Update Date | 12/04/2018 |