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
Fax: (207) 661-8030
Website:

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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518038645 NPPES
Maine Other OT3937 OCCUPATIONAL THERAPY LICENSE

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