MISS Maria A Theriault, OTL

NPI #1619259173 in Lewiston, Maine

Provider Information

NPI Number: 1619259173
Entity Type: Individual
Name: MISS Maria A Theriault, OTL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTL
Enumeration Date: Sep 12, 2011
Last Updated: Sep 12, 2011

Practice Location

Address: 151 N TEMPLE ST
City: Lewiston
State: Maine
ZIP Code: 04240-3350
Phone: (207) 753-6414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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