Individual
LYDIA LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
764 US ROUTE 1 STE 4, YORK, ME 03909-5906
(207) 351-3078
(207) 351-3083
Mailing address
764 US ROUTE 1 STE 4, YORK, ME 03909-5906
(207) 351-3078
(207) 351-3083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3664
BOARD OF OCCUPATIONAL THERAPY PRATICE
ME
Enumeration date
08/20/2019
Last updated
08/20/2019
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