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NPI Code Detail

MEDICARE: MAURA E SLATER OT

MEDICARE: MAURA E SLATER OT
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 TherapistOT4608ME

General Provider Information

NPI Number : 1124787189
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURA E SLATER OT
Provider Business Mailing Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2021
Last Update Date : 12/01/2025

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