River Birch Occupational Therapy

Organization Active NPI Pediatric Occupational Therapist · Arundel, ME

NPI 1073747713 · NPPES record last updated May 10, 2009

Key facts

NPI
1073747713
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT304 (ME)
Legal business name
RIVER BIRCH OCCUPATIONAL THERAPY
Practice address
1236 Portland Rd
Arundel, ME 04046-8104
Phone
(207) 468-1293
NPI assigned
May 10, 2009
Organization subpart
No

Authorized official

Name
Mrs. Lorie B Wyman, OTR/L
Title
Occupational Therapist
Phone
(207) 468-1293

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1236 Portland Rd
Arundel, ME 04046
Phone (207) 468-1293

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225XP0200X OT304 ME Yes

Addresses

Primary practice location

1236 Portland Rd
Arundel, ME 04046-8104

Mailing address

1236 Portland Rd
Arundel, ME 04046-8104
Phone (207) 468-1293

Other identifiers

IdentifierTypeStateIssuer
1366409351OtherNPI
ID 19720000MedicaidME

Other providers in Arundel, ME

All providers in Arundel, ME · Pediatric Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.