Lisa M Mazzola OTRL

NPI 1760514954 - Occupational Therapist - 225X00000X

NPI Details
NPI 1760514954
Gender Female
Enumeration Date 03/12/2007
Last Updated 07/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15 HASSON ST
FARMINGDALE ME, 04344-1613, US
Phone (207) 582-8400
Fax (207) 582-8401
Business Location
62 BUCK N DOE TRL
AUGUSTA ME, 04330-8547, US
Phone (207) 622-2999
Fax (207) 622-2998
Toxanomy
Taxonomy Code 225X00000X
License State Maine
License Number OT1257
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According to our database, Ms. Lisa M Mazzola OTRL NPI is 1760514954, taxonomy code is 225X00000X and license number is OT1257, license state is located at Maine. Lisa M Mazzola OTRL physically located at 15 Hasson St, Farmingdale ME, 04344-1613. NPI Number Lisa M Mazzola OTRL has the Individual type.

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1760514954 NPI number is provided on an as is basis without warranty of any kind. 1760514954 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Mazzola OTRL are for informational purposes only.