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NPI Code Detail

MEDICARE: MR. AARON J SAWYER COTA/L

MEDICARE: MR. AARON J SAWYER COTA/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
1224Z00000XOccupational Therapy AssistantOA2424ME

General Provider Information

NPI Number : 1659645893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON J SAWYER COTA/L
Provider Business Mailing Address
First Line : 127 MAIN ST
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2647
Country : US
Telephone Number : 207-619-9263
Fax Number : 207-799-8346
Provider Business Practice Location Address
First Line : 127 MAIN ST
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2647
Country : US
Telephone Number : 207-619-9263
Fax Number : 207-799-8346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2012
Last Update Date : 03/06/2012

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