Provider Demographics
NPI:1538499116
Name:CHAPLIN, ALEXANDRA PRISCILLA (MOTR/L)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:PRISCILLA
Last Name:CHAPLIN
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WOODS RD
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-7428
Mailing Address - Country:US
Mailing Address - Phone:207-338-3242
Mailing Address - Fax:
Practice Address - Street 1:2 FOOTBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7206
Practice Address - Country:US
Practice Address - Phone:207-338-5307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT731225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist