Cavenaugh Kelly, OT | |
1048 Union St Ste 5, Bangor, ME 04401-8601 | |
(207) 945-5247 | |
(207) 992-2154 |
Full Name | Cavenaugh Kelly |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1048 Union St Ste 5, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730282831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT1042 (Maine) | Primary |
Provider Name | Mps Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851902720 PECOS PAC ID: 4385063619 Enrollment ID: O20201006000837 |
Mailing Address | Practice Location Address |
---|---|
Cavenaugh Kelly, OT 1048 Union St Ste 5, Bangor, ME 04401-8601 Ph: (207) 945-5247 | Cavenaugh Kelly, OT 1048 Union St Ste 5, Bangor, ME 04401-8601 Ph: (207) 945-5247 |
Courtney L St.pierre, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Stillwater Ave, Bangor, ME 04401 Phone: 207-947-7605 | |
Alena Ayotte, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Katie A Wiggin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Hammond St, Bangor, ME 04401 Phone: 207-992-4042 Fax: 207-992-4043 | |
Alexandra Gardiner, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Gilman Plz, Bangor, ME 04401 Phone: 207-990-0162 | |
Katherine Dionne, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Maria Glidden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Mr. Harland Thomas Grant Iii, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cumberland Pl Ste 108, Bangor, ME 04401 Phone: 207-990-9000 Fax: 207-945-8645 |