Individual
HEATHER LYNN LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200
(207) 761-2108
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3657
ME
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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