Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3746 | ME |
N | 225XP0200X | Occupational Therapist - Pediatrics | 115155 | AK |
NPI | 1073058681 |
---|---|
Provider Name | Erika Hutchins |
First Address | Bangor, ME 04401-3945 |
Second Address | Bangor, ME 04401-3945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2017 |
Last Update Date | 08/03/2021 |