Individual
LISA J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
29 COMIKEV LN, WINTERPORT, ME 04496-3829
(207) 941-4301
(207) 941-4062
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1049
ME
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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