Individual
LISA DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(774) 991-1159
Mailing address
358 HARE RD, MILTON, NH 03851-4716
(774) 991-1159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0842
NH
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/08/2014
Last updated
10/06/2020
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