| Functional Home Ot Llc | |
|
255 Five Rd, Carmel, ME 04419-3203 | |
| (207) 548-5913 | |
| Not Available |
| Full Name | Functional Home Ot Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Gerontology |
| Location | 255 Five Rd, Carmel, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043837503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | (* (Not Available)) | Primary |
| Provider Name | Melissa Anne Lopez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760653919 PECOS PAC ID: 6608898796 Enrollment ID: I20060104000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Home Ot Llc 255 Five Rd, Carmel, ME 04419-3203 Ph: (207) 745-4672 | Functional Home Ot Llc 255 Five Rd, Carmel, ME 04419-3203 Ph: (207) 548-5913 |
Jacobs Ladder Occupational Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 Hampden Rd, Carmel, ME 04419 Phone: 207-991-7781 | |
Mrs. Melissa Anne Lopez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 255 Five Rd, Carmel, ME 04419 Phone: 207-745-4672 | |
Nancy Marie Cormier, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 East Court, Carmel, ME 04419 Phone: 207-991-8377 |