Angel Gaye Carey, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Brewer, ME

NPI 1285937573 · NPPES record last updated Dec 8, 2010

Key facts

NPI
1285937573
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OA2425 (ME)
Practice address
204 Washington St
Brewer, ME 04412-1322
Phone
(207) 942-5216
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

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
03376MAMDOccupational Therapy Assistant
OA2425MEMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OA2425 ME Yes
Occupational Therapy Assistant 224Z00000X 03376 MA

Addresses

Primary practice location

204 Washington St
Brewer, ME 04412-1322

Mailing address

204 Washington St
Brewer, ME 04412-1322
Phone (207) 942-5216

Other providers in Brewer, ME

All providers in Brewer, ME · Occupational Therapy Assistant in Maine

Sources for this page

Verify at the official NPI Registry.