Healthcare Provider Details
I. General information
NPI: 1932831393
Provider Name (Legal Business Name): RIGHT COAST REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2022
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 LEVESQUE DR STE B
ELIOT ME
03903-1952
US
IV. Provider business mailing address
PO BOX 32
ELIOT ME
03903-0032
US
V. Phone/Fax
- Phone: 207-424-2604
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LAUREN
HURD
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L, CLT
Phone: 617-957-5101