Healthcare Provider Details

I. General information

NPI: 1912670241
Provider Name (Legal Business Name): ERIN CATHERINE CHASSE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ERIN CATHERINE MURPHY

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WESTBROOK COMMON
WESTBROOK ME
04092-2819
US

IV. Provider business mailing address

12 WESTBROOK COMMON
WESTBROOK ME
04092-2819
US

V. Phone/Fax

Practice location:
  • Phone: 207-591-7210
  • Fax: 207-591-7213
Mailing address:
  • Phone: 207-591-7210
  • Fax: 207-591-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT4142
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT4142
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: