Healthcare Provider Details

I. General information

NPI: 1831002641
Provider Name (Legal Business Name): HANNAH LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 WHITE PINE RD STE C
HERMON ME
04401-0250
US

IV. Provider business mailing address

431 WALDOBORO RD
WASHINGTON ME
04574-3610
US

V. Phone/Fax

Practice location:
  • Phone: 207-355-1550
  • Fax:
Mailing address:
  • Phone: 207-790-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: