Daren Dionne

Individual provider Active NPI Occupational Therapy Assistant · Eagle Lake, ME

NPI 1730529454 · NPPES record last updated Jun 26, 2013

Key facts

NPI
1730529454
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
TA2784 (ME)
Practice address
3402 Aroostook Rd
Eagle Lake, ME 04739
Phone
(207) 444-5152
NPI assigned
Jun 26, 2013
Sex
Male
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
TA2784MEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine General Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TA2784 ME Yes

Addresses

Primary practice location

3402 Aroostook Rd
Eagle Lake, ME 04739

Mailing address

PO Box 59
Eagle Lake, ME 04739

Other providers in Eagle Lake, ME

All providers in Eagle Lake, ME · Occupational Therapy Assistant in Maine

Sources for this page

Verify at the official NPI Registry.