Individual
MRS. CORISSA LYNNE LAPRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
229 CENTER ST, UNIT 6, AUBURN, ME 04210-6168
(207) 782-0333
(207) 782-0333
Mailing address
229 CENTER ST, UNIT 6, AUBURN, ME 04210
(207) 782-0333
(207) 782-0333
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407800000
MAINECARE PROVIDER ID
ME
01
—
OT1699
OCC.THERAPY LICENSE
ME
Enumeration date
07/12/2006
Last updated
03/08/2016
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