Provider Demographics
NPI:1649751470
Name:BACHELDER, MEGAN JUDE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:JUDE
Last Name:BACHELDER
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 1:43 WHISPERING PINES CIR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:ME
Mailing Address - Zip Code:04284-3133
Mailing Address - Country:US
Mailing Address - Phone:207-685-5334
Mailing Address - Fax:
Practice Address - Street 1:540 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5299
Practice Address - Country:US
Practice Address - Phone:207-783-2039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1265225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist