Advance

NPI #1932184900 in Lewiston, Maine

Provider Information

NPI Number: 1932184900
Entity Type: Organization
Organization Name: Advance
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 13, 2005
Last Updated: Jun 16, 2008

Practice Location

Address: 265 PINE ST
City: Lewiston
State: Maine
ZIP Code: 04240-6308
Phone: (207) 786-0168

Authorized Official

Name: JENNIFER BERGERON, OT
Title: PRESIDENT
Phone: (207) 786-0168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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