Laura Elwell, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Augusta, ME

NPI 1992325971 · NPPES record last updated Apr 20, 2020

Key facts

NPI
1992325971
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OA3167 (ME)
Practice address
188 Eastern Ave
Augusta, ME 04330-5928
Phone
(207) 622-3121
NPI assigned
Apr 20, 2020
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
OA3167MEMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OA3167 ME Yes

Addresses

Primary practice location

188 Eastern Ave
Augusta, ME 04330-5928

Mailing address

188 Eastern Ave
Augusta, ME 04330-5928

Other providers in Augusta, ME

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

Sources for this page

Verify at the official NPI Registry.