Basic Information
| Provider Information | |||||||||
| NPI: | 1831629666 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEVESQUE | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | EMILY | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | OTR/L, CLT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 194 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FORT KENT | ||||||||
| State: | ME | ||||||||
| PostalCode: | 047431428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078343387 | ||||||||
| FaxNumber: | 2078343370 | ||||||||
| Practice Location | |||||||||
| Address1: | 194 E MAIN ST. | ||||||||
| Address2: | |||||||||
| City: | FORT KENT | ||||||||
| State: | ME | ||||||||
| PostalCode: | 047431004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078343387 | ||||||||
| FaxNumber: | 2078343370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT3098 | ME | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.