MEDICARE: BRYANNE LOVELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT3007	ME

General Provider Information

NPI Number	:	1619390895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANNE LOVELL

Provider Business Mailing Address
First Line	:	94 WATER ST
Second Line	:
City	:	GUILFORD
State	:	ME
Zip	:	04443-6338
Country	:	US
Telephone Number	:	207-604-8434
Fax Number	:	844-310-0239

Provider Business Practice Location Address
First Line	:	54 E MAIN ST
Second Line	:
City	:	DOVER FOXCROFT
State	:	ME
Zip	:	04426-1323
Country	:	US
Telephone Number	:	207-604-8434
Fax Number	:	844-310-0239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2014
Last Update Date	:	12/11/2025

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Directions to “ BRYANNE LOVELL ” Practice Location

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