Individual
LISE GORAYEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT55
ME
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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