Individual
LISA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SCHOOL ST, FAIRFIELD, ME 04937-1325
(207) 453-4200
Mailing address
11 CROCKER AVE N, WHITEFIELD, ME 04353-3928
(207) 549-5634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200
ME
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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