Ian Blake Sotomayor, MS, OTR/L | |
163 Van Buren Rd, Caribou, ME 04736-3567 | |
(207) 498-1618 | |
(207) 498-1653 |
Full Name | Ian Blake Sotomayor |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 163 Van Buren Rd, Caribou, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083256150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3755 (Maine) | Primary |
Provider Name | City Of Caribou |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780615492 PECOS PAC ID: 6800707811 Enrollment ID: O20040619000020 |
Mailing Address | Practice Location Address |
---|---|
Ian Blake Sotomayor, MS, OTR/L 163 Van Buren Rd Ste 1, Caribou, ME 04736-3567 Ph: (207) 498-1618 | Ian Blake Sotomayor, MS, OTR/L 163 Van Buren Rd, Caribou, ME 04736-3567 Ph: (207) 498-1618 |
Pamela J Searles, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Bennett Dr, Caribou, ME 04736 Phone: 207-498-3820 Fax: 207-498-3591 | |
Gabrielle Jandreau, MSOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 163 Van Buren Rd Ste 1, Caribou, ME 04736 Phone: 207-498-1618 | |
Mrs. Cheri Melody Hayes, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Page Ave, Caribou, ME 04736 Phone: 207-227-7117 | |
Joshua Ellis Turbide, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Van Buren Rd, Caribou, ME 04736 Phone: 207-498-1617 Fax: 207-498-1653 | |
Mr. Adam Neal Richardson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Bernadette St, Caribou, ME 04736 Phone: 207-498-3102 | |
Angela Beth Cormier, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Van Buren Rd, Suite 1, Caribou, ME 04736 Phone: 207-498-1650 Fax: 207-498-1653 |