Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD VICTOR SMALL JR., PTA
ActiveEDWARD VICTOR SMALL JR., PTA is a Occupational Therapist healthcare provider located in BANGOR, Maine. NPI 1508107665 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BANGOR, ME
Registration Details
- NPI Number
- 1508107665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2013 (13.390477567931 yrs)
- Last Updated
- Mar 13, 2013
- License
-
PA3405 (ME)
Practice Information
- Address
-
489 STATE STBANGOR, ME, 044016616Browse ME providers · Browse ZIP 04401
- Phone
- 2079738086
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| CHERYL WILLIS | PTA | 1609885052 |
| MRS. STEPHANIE JOAN HAMEL | PTA | 1568674422 |
| JAMES ARTHUR SMITH | PTA | 1689813230 |
| KERI J UPTON | — | 1205118395 |
| JOAN DELUSSO | — | 1053880476 |
| JONATHAN D OUELLETTE | PTA | 1992479455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.