Susan Bovie

Individual provider Active NPI Occupational Therapist · Oakland, ME

NPI 1104201235 · NPPES record last updated Jul 30, 2015

Key facts

NPI
1104201235
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT230 (ME)
Practice address
2 Evergreen Dr
Oakland, ME 04963-5364
Phone
(207) 873-8140
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT230MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT230 ME Yes

Addresses

Primary practice location

2 Evergreen Dr
Oakland, ME 04963-5364

Mailing address

2 Evergreen Dr
Oakland, ME 04963-5364
Phone (207) 873-8140

Other providers in Oakland, ME

All providers in Oakland, ME · Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.