Healthcare Provider Details

I. General information

NPI: 1801739677
Provider Name (Legal Business Name): MADELINE DUMONT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MAIN ST
TOPSHAM ME
04086-1285
US

IV. Provider business mailing address

41 MAIN ST
TOPSHAM ME
04086-1285
US

V. Phone/Fax

Practice location:
  • Phone: 207-844-8287
  • Fax:
Mailing address:
  • Phone: 207-844-8287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT4930
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: