Sarah Marie Ingraham, COTA

Individual provider Active NPI Occupational Therapy Assistant · Fairfield, ME

NPI 1780922781 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1780922781
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OA2676 (ME)
Practice address
95 Skowhegan Rd
Fairfield, ME 04937-3303
Phone
(207) 453-1330
NPI assigned
Jan 25, 2013
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
OA2676MEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gallant Therapy Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OA2676 ME Yes

Addresses

Primary practice location

95 Skowhegan Rd
Fairfield, ME 04937-3303

Mailing address

95 Skowhegan Rd
Fairfield, ME 04937-3303
Phone (207) 453-1330

Other names

  • Sarah Marie Anderson Former name

Other providers in Fairfield, ME

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

Sources for this page

Verify at the official NPI Registry.