Individual
LISA MARIE OTTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3030
Mailing address
PO BOX 3064, 8 MAPLEWOOD DR., KENNEBUNKPORT, ME 04046-3064
(207) 286-5631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT284
ME
225XN1300X
Neurorehabilitation Occupational Therapist
OT284
ME
225XP0200X
Pediatric Occupational Therapist
OT284
ME
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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