Provider Demographics
NPI:1164601472
Name:ASHEY-MEHUREN, RENEE LYNN (COTA/L)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNN
Last Name:ASHEY-MEHUREN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 NEW ENGLAND RD
Mailing Address - Street 2:
Mailing Address - City:SEARSMONT
Mailing Address - State:ME
Mailing Address - Zip Code:04973-3605
Mailing Address - Country:US
Mailing Address - Phone:207-342-4704
Mailing Address - Fax:
Practice Address - Street 1:98 WALDO AVENUE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-3605
Practice Address - Country:US
Practice Address - Phone:207-342-4704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
META2104224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant