Organization
LIGHTHOUSE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSI GAGNE (OCCUPATIONAL THERAPIST)
(207) 939-8231
Entity
Organization
Contact information
Practice address
1458 WASHINGTON AVE, PORTLAND, ME 04103-2022
(207) 939-8231
Mailing address
1458 WASHINGTON AVE, PORTLAND, ME 04103-2022
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2017
Last updated
04/18/2017
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