Audrey Frances Averill Blagdon, MS, OT/L
Individual provider Active NPI Occupational Therapist · Warren, ME
NPI 1659619039 · NPPES record last updated Jan 20, 2013
Key facts
- NPI
- 1659619039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- TO2719 (ME)
- Practice address
- 191 Camden Rd
Warren, ME 04864-4207 - Phone
- (207) 273-8100
- NPI assigned
- Jan 20, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2719 | ME | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | TO2719 | ME | Yes |
Addresses
Primary practice location
191 Camden Rd
Warren, ME 04864-4207
Mailing address
530 W Alna Rd
Alna, ME 04535-3828
Phone (207) 350-1093
Other providers in Warren, ME
- Jennifer Appleby
- Katelynn Atwood
- Kellie D Bailey
- Mary Beaster
- Kathleen Bertelsen Cartwright
- Dianna Marie Cole
- CRC Recovery Inc
- Spencer Desimone
- Marissa Eldridge
All providers in Warren, ME · Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.