MEDICARE: AMARIS PEDERSEN OCCUPATIONAL THERAPY LLC

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

General Provider Information

NPI Number	:	1629912837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMARIS PEDERSEN OCCUPATIONAL THERAPY LLC

Provider Business Mailing Address
First Line	:	51 MOUNTAIN MIST LN
Second Line	:
City	:	DIXMONT
State	:	ME
Zip	:	04932-3640
Country	:	US
Telephone Number	:	207-659-9043
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 MOUNTAIN MIST LN
Second Line	:
City	:	DIXMONT
State	:	ME
Zip	:	04932-3640
Country	:	US
Telephone Number	:	207-659-9043
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMARIS PEDERSEN
Credential	:
Telephone Number	:	207-659-9043

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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