Individual
AVERY LAPERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4123
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730758756
—
ME
Enumeration date
06/23/2021
Last updated
10/12/2022
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