Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | OT607 | ME |
Y | 225XE1200X | Ergonomics | OT607 | ME |
NPI | 1346273935 |
---|---|
Provider Name | Mrs. Kim Lea Winling |
First Address | Hollis Center, ME 04042-3602 |
Second Address | Scarborough, ME 04074-8926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 08/07/2007 |