Individual
MS. LESLIE A. GOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
647 US ROUTE 1, 306, YORK, ME 03909-1651
(207) 363-3974
Mailing address
647 US ROUTE 1, 306, YORK, ME 03909-1651
(207) 363-3974
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT 60
ME
Other
Enumeration date
12/09/2007
Last updated
12/09/2007
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