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NPI Code Detail

MEDICARE: RIVER BIRCH OCCUPATIONAL THERAPY

MEDICARE: RIVER BIRCH OCCUPATIONAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT304ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11366409351OTHERNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073747713
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER BIRCH OCCUPATIONAL THERAPY
Provider Business Mailing Address
First Line : 1236 PORTLAND RD
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8104
Country : US
Telephone Number : 207-468-1293
Fax Number :
Provider Business Practice Location Address
First Line : 1236 PORTLAND RD
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8104
Country : US
Telephone Number : 207-468-1293
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : MRS. LORIE B WYMAN
Credential : OTR/L
Telephone Number : 207-468-1293
Provider Enumeration Date : 05/10/2009
Last Update Date : 05/10/2009

Similar Medicare Providers

1740143619 — MAYA HIXON OTR/L
Practice Location Address:
1222 PORTLAND RD STE 10
ARUNDEL, ME
04046-8104
Practice Phone: 207-337-1058
Practice Fax:
1932185642 — RONALD L MOSIELLO D.O.
Practice Location Address:
1232 PORTLAND RD STE 5
ARUNDEL, ME
04046-8104
Practice Phone: 207-464-9081
Practice Fax: 866-870-3254
1366409351 — LORIE B WYMAN OTR/L
Practice Location Address:
1236 PORTLAND RD
ARUNDEL, ME
04046-8104
Practice Phone: 207-468-1293
Practice Fax:
1396771887 — DR. ANTHONY N. ALTIERI D.M.D.
Practice Location Address:
1220 PORTLAND RD
ARUNDEL, ME
04046-8104
Practice Phone: 207-985-3576
Practice Fax: 207-467-9125
1780713347 — DR. SCOTT P. MULLIKEN N.D.
Practice Location Address:
1232 PORTLAND RD
ARUNDEL, ME
04046-8104
Practice Phone: 207-467-3345
Practice Fax: 207-467-3403
1003006271 — DR. KAREN M BENEZRA D.O.
Practice Location Address:
1232 PORTLAND RD
ARUNDEL, ME
04046-8104
Practice Phone: 207-608-6864
Practice Fax: 207-502-7211

Directions to “RIVER BIRCH OCCUPATIONAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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