Individual
LAURA ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
188 EASTERN AVE, AUGUSTA, ME 04330-5928
(207) 622-3121
Mailing address
188 EASTERN AVE, AUGUSTA, ME 04330-5928
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA3167
ME
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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