Provider Demographics
NPI:1912214297
Name:LANIEWSKI, NADINE SEMENZA (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:NADINE
Middle Name:SEMENZA
Last Name:LANIEWSKI
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 819
Mailing Address - Street 2:
Mailing Address - City:NORTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03906-0819
Mailing Address - Country:US
Mailing Address - Phone:207-676-2234
Mailing Address - Fax:
Practice Address - Street 1:8 NOBLE LN
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03901-2842
Practice Address - Country:US
Practice Address - Phone:207-698-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOA9398224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant