Kids in Action P.c.

NPI #1093847097 in Farmingdale, Maine

Provider Information

NPI Number: 1093847097
Entity Type: Organization
Organization Name: Kids in Action P.c.
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 12, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 15 HASSON ST
City: Farmingdale
State: Maine
ZIP Code: 04344-1613
Phone: (207) 582-8400

Authorized Official

Name: MS. LISA M MAZZOLA, OTRL
Title: PRESIDENT
Phone: (207) 582-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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