Individual
ELISSA BETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2 FOOTBRIDGE RD, BELFAST, ME 04915-7206
(207) 338-5307
Mailing address
562 N SEARSPORT RD, FRANKFORT, ME 04438-3612
(207) 323-0553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0A1011
ME
224Z00000X
Occupational Therapy Assistant
Primary
OA1011
ME
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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