Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OA3770 | ME |
NPI | 1023652138 |
---|---|
Provider Name | Kathryn J Day |
First Address | Belfast, ME 04915-6709 |
Second Address | Orono, ME 04473-3620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2019 |
Last Update Date | 31/10/2019 |