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Search › Maine › 224Z00000X

Shane Ball, COTA

NPI 1437715034 · on the registry since 2019 · sole proprietor

Practice

Address
190 Bangor Rd
Ellsworth, ME 04605
Phone
(207) 667-7108
Fax
(207) 664-0461
Organisation at this address
Child Development Services-Hancock County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine