Drake, Mary R
Drake, Mary R is an individual health care provider with primary practice located at 119 Gannett Dr , South Portland ME 04106-6942. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Drake, Mary R can be contacted via phone (207) 773-0040.Contact Information
Primary practice address
119 Gannett Dr
South Portland ME 04106-6942
Phone: (207) 773-0040
Fax: (207) 661-8030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT3937 | Maine |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT3937 | Maine |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 000771 | Connecticut |
Profile Details
| NPI number | 1518038645 |
|---|---|
| LBN Legal business name | Drake, Mary R |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jan 5th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518038645 | NPPES |
| Maine | Other | OT3937 | OCCUPATIONAL THERAPY LICENSE |
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