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Individual

MS. LISA NIEDENFUHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 985-7861
Mailing address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 985-7861
(207) 874-1127

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2298
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102560300
ME
Enumeration date
07/30/2009
Last updated
08/31/2023
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