Individual
MS. LAUREN ELIZABETH BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 699-5531
Mailing address
48 MEADOW WAY, BATH, ME 04530-2353
(207) 712-7467
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2467
ME
Other
Enumeration date
10/19/2010
Last updated
12/21/2010
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