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Contact Information

MARY E WAGSTAFF, OTR/L
SEAPORT VILLAGE HEALTHCARE
19 GENERAL MOORE WAY
ELLSWORTH, ME04605
 Phone: 207-667-9336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY E WAGSTAFF · (Female)

NPI # 1760940464
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 03/12/2019
Last updated 04/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # OT955
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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