Individual
MARC GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-1175
ME
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
05/02/2024
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