Provider Demographics
NPI:1083652077
Name:POCHOPIEN, BETH ANNE (OTR)
Entity Type:Individual
Prefix:
First Name:BETH ANNE
Middle Name:
Last Name:POCHOPIEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5500
Mailing Address - Country:US
Mailing Address - Phone:207-621-8080
Mailing Address - Fax:297-621-8090
Practice Address - Street 1:72 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5500
Practice Address - Country:US
Practice Address - Phone:207-621-8080
Practice Address - Fax:297-621-8090
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT484225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist