Katherine J Lagueux, MOT, OTR/L

Individual provider Active NPI Occupational Therapist · Bar Harbor, ME

NPI 1104485507 · NPPES record last updated Jun 10, 2019

Key facts

NPI
1104485507
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT3122 (ME)
Practice address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone
(207) 288-5082
NPI assigned
Jun 10, 2019
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
OT3122MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Desert Island Hospital Past
since Feb 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3122 ME Yes

Addresses

Primary practice location

10 Wayman LN
Bar Harbor, ME 04609-1625

Mailing address

PO Box 8
Bar Harbor, ME 04609-0008

Other providers in Bar Harbor, ME

All providers in Bar Harbor, ME · Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.