Healthcare Provider Details

I. General information

NPI: 1407659469
Provider Name (Legal Business Name): LEAH SCHROEDER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 ELM ST
NORTH BERWICK ME
03906-6792
US

IV. Provider business mailing address

371 PREBLE ST APT 4
SOUTH PORTLAND ME
04106-3016
US

V. Phone/Fax

Practice location:
  • Phone: 207-676-2242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT4398
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: