Healthcare Provider Details

I. General information

NPI: 1023379906
Provider Name (Legal Business Name): CAYCE ANNE PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAYCE ANNE LANNON

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HUNTINGTON COMMON DR STE 5
KENNEBUNK ME
04043-6558
US

IV. Provider business mailing address

7 CARNEGIE PLZ
CHERRY HILL NJ
08003-1000
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax:
Mailing address:
  • Phone: 617-448-7846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT4932
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: