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NPI Code Detail

MEDICARE: MAYA HIXON OTR/L

MEDICARE:   MAYA  HIXON  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
1225X00000XOccupational TherapistOT4856ME

General Provider Information

NPI Number : 1740143619
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA HIXON OTR/L
Provider Business Mailing Address
First Line : 15 GAY ST APT 1
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2416
Country : US
Telephone Number : 978-809-8734
Fax Number :
Provider Business Practice Location Address
First Line : 1222 PORTLAND RD STE 10
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8104
Country : US
Telephone Number : 207-337-1058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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Directions to “ MAYA HIXON OTR/L” Practice Location

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