Provider Demographics
NPI:1467766816
Name:BUCH, NANCY (MOTR/L)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BUCH
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:FARNDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:18 STORER ST
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6834
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 HILL ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3931
Practice Address - Country:US
Practice Address - Phone:207-282-5957
Practice Address - Fax:207-282-8289
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1983225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist