Individual
HILARY LAFORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-4620
Mailing address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-4620
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT969
ME
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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