| Full Name | |
|---|---|
| Speciality | Occupational Therapist |
| Location | 18 Grove St, Norway, Maine |
| Authorized Official Name and Position | Cynthia L Beauchesne (CO OWNER) |
| Authorized Official Contact | 2077392242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 51 West Paris ME 04289-0051 Ph: (207) 739-2242 | 18 Grove St Norway ME 04268-5610 Ph: (207) 739-2242 |
| NPI Number | 1851410054 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851410054 | NPI | - | NPPES |
| 134830000 | Medicaid | ME | |
| 433373200 | Medicaid | ME | |
| 134830100 | Medicaid | ME | |
| 433961000 | Medicaid | ME |
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