Individual
MARY E LECONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 330-9403
Mailing address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1924
ME
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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