Jill Schacht, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Cumberland, ME

NPI 1750535993 · NPPES record last updated Nov 14, 2008

Key facts

NPI
1750535993
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT1639 (ME)
Practice address
85 Middle Rd
Cumberland, ME 04021-3707
Phone
(207) 829-8007
Fax
(207) 829-8008
NPI assigned
Nov 14, 2008
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

State licenses

LicenseStateTypeSpecialty
OT1639MEMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT1639 ME Yes

Addresses

Primary practice location

85 Middle Rd
Cumberland, ME 04021-3707

Mailing address

85 Middle Rd
Cumberland, ME 04021-3707
Phone (207) 829-8007

Other providers in Cumberland, ME

All providers in Cumberland, ME · Pediatric Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.