Lise Gervais, OT
NPI #1497731186 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1497731186
- Entity Type
- Individual
- Name
- Lise Gervais, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Dec 15, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 109 RHODE ISLAND RD
- Address 2
- SHRIVER
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347-1370
- Phone
- (508) 923-6032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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