Candace S Davenport, OTR/L
Individual provider Active NPI Occupational Therapist · Caribou, ME
NPI 1801020722 · NPPES record last updated May 6, 2009
Key facts
- NPI
- 1801020722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1682 (ME)
- Practice address
- 163 Van Buren Rd
Suite 1
Caribou, ME 04736-3567 - Phone
- (207) 498-1618
- NPI assigned
- May 6, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT1682 | ME | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1682 | ME | Yes |
Addresses
Primary practice location
163 Van Buren Rd
Suite 1
Caribou, ME 04736-3567
Mailing address
30 Elizabeth St
Presque Isle, ME 04769-2521
Phone (207) 764-5972
Other providers in Caribou, ME
- Gail M Cyr
- James Cyr
- Lori A Cyr
- Mariah Anne Cyr
- Traci Cyr
- Christina A Day
- Deborah R Harper
- Nathan C. Defelice
- Kent D. Demerchant
- Sheena Demerchant
All providers in Caribou, 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 May 6, 2009. 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.