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Individual

LAURIE LYNN MARCEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
587 N DEER ISLE RD, DEER ISLE, ME 04627-3438
(207) 348-2351
Mailing address
122 STACKPOLE WAY, ELLSWORTH, ME 04605-2796

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0A1761
ME
224Z00000X
Occupational Therapy Assistant
Z20606
LA

Other

Enumeration date
04/22/2009
Last updated
04/22/2009
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