Individual
DOROTHY LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ROGERS RD, KITTERY, ME 03904-1458
(207) 475-1331
(207) 439-5407
Mailing address
200 ROGERS RD, KITTERY, ME 03904-1458
(207) 475-1331
(207) 439-5407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1727
ME
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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