Provider Demographics
NPI:1720402027
Name:CYR, ANNETTE C
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:C
Last Name:CYR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 FRONT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-6412
Mailing Address - Country:US
Mailing Address - Phone:207-694-7895
Mailing Address - Fax:
Practice Address - Street 1:452 FRONT RIDGE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:ME
Practice Address - Zip Code:04730-6412
Practice Address - Country:US
Practice Address - Phone:207-694-7895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2842225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist