Individual
MRS. LAUREN FYSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
365 NICOLIN RD, ELLSWORTH, ME 04605-3113
(207) 812-5199
Mailing address
365 NICOLIN ROAD, ELLSWORTH, ME 04605
(207) 812-5199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2939
ME
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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