Individual
LISA ANNE LEGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 781-8881
Mailing address
12 PLEASANT ST, BRUNSWICK, ME 04011-2282
(207) 319-4129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4047
ME
Other
Enumeration date
03/02/2021
Last updated
09/17/2023
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