Healthcare Provider Details

I. General information

NPI: 1750295192
Provider Name (Legal Business Name): ISABELLE CHASE MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 MAIN ST
WESTBROOK ME
04092-2867
US

IV. Provider business mailing address

26 CLIFF AVE
CAPE ELIZABETH ME
04107-5011
US

V. Phone/Fax

Practice location:
  • Phone: 207-854-1239
  • Fax:
Mailing address:
  • Phone: 207-317-0305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT5059
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: