MEDICARE: MS. MAUREEN ANNE SWEENEY OTR/L

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
1	225X00000X	Occupational Therapist	OT002678	OH
2	225X00000X	Occupational Therapist	1481	WV
3	225X00000X	Occupational Therapist	OT.0008180	CO
4	225X00000X	Occupational Therapist	123940	TX
5	225X00000X	Occupational Therapist	16502	NC
6	225X00000X	Occupational Therapist	OT-2023-0238	NM

General Provider Information

NPI Number	:	1588908099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAUREEN ANNE SWEENEY OTR/L

Provider Business Mailing Address
First Line	:	655 S WILLOW ST STE 128
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03103-5723
Country	:	US
Telephone Number	:	800-995-2673
Fax Number	:	888-979-6551

Provider Business Practice Location Address
First Line	:	401 SNYDER AVE
Second Line	:
City	:	BARBERTON
State	:	OH
Zip	:	44203-4131
Country	:	US
Telephone Number	:	330-745-6028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2012
Last Update Date	:	10/01/2025

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