Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OA2576 | ME |
NPI | 1013395383 |
---|---|
Provider Name | Sarah Lifer |
First Address | Brewer, ME 04412-1366 |
Second Address | Bangor, ME 04401-3944 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2015 |
Last Update Date | 07/05/2015 |