Healthcare Provider Details

I. General information

NPI: 1346929213
Provider Name (Legal Business Name): CASSIDY L. LAJOIE MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 MAIN ST STE 11
PRESQUE ISLE ME
04769-2270
US

IV. Provider business mailing address

PO BOX 68
VAN BUREN ME
04785-0068
US

V. Phone/Fax

Practice location:
  • Phone: 207-316-6832
  • Fax:
Mailing address:
  • Phone: 207-316-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT3887
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: