Provider Demographics
NPI:1235436262
Name:FARRELL OXTON, MICHELE LYNN (OTR/L)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:FARRELL OXTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-0193
Mailing Address - Country:US
Mailing Address - Phone:207-323-9551
Mailing Address - Fax:207-230-7126
Practice Address - Street 1:11 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-5746
Practice Address - Country:US
Practice Address - Phone:207-236-7807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT351225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEOT351OtherOCCUPATIONAL THERAPIST