Provider Demographics
NPI:1346929213
Name:LAJOIE, CASSIDY L (MSOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:L
Last Name:LAJOIE
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 CARIBOU RD
Mailing Address - Street 2:
Mailing Address - City:CYR PLT
Mailing Address - State:ME
Mailing Address - Zip Code:04785-3121
Mailing Address - Country:US
Mailing Address - Phone:207-316-6832
Mailing Address - Fax:
Practice Address - Street 1:353 11TH AVE
Practice Address - Street 2:
Practice Address - City:MADAWASKA
Practice Address - State:ME
Practice Address - Zip Code:04756-3004
Practice Address - Country:US
Practice Address - Phone:207-728-3635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3887225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist