Individual
LORA SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
560 MAIN ST, PRESQUE ISLE, ME 04769-2449
(207) 764-4490
Mailing address
560 MAIN ST, PRESQUE ISLE, ME 04769-2449
(207) 764-4490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
409
ME
Other
Enumeration date
05/14/2009
Last updated
10/27/2010
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