Individual
MRS. DIANE LAMERE-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
19 PERKINS AVENUE, TOPSHAM, ME 04086
(207) 725-4391
Mailing address
50 REPUBLIC AVENUE, TOPSHAM, ME 04086
(207) 729-1557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1320
ME
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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