Provider Demographics
NPI:1942706254
Name:SCHOPPEE, SIANA DOROTHY (OTR/L)
Entity Type:Individual
Prefix:
First Name:SIANA
Middle Name:DOROTHY
Last Name:SCHOPPEE
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:PO BOX 167
Mailing Address - Street 2:
Mailing Address - City:MACHIAS
Mailing Address - State:ME
Mailing Address - Zip Code:04654-0167
Mailing Address - Country:US
Mailing Address - Phone:207-263-6370
Mailing Address - Fax:
Practice Address - Street 1:16 BEAL ST
Practice Address - Street 2:
Practice Address - City:MACHIAS
Practice Address - State:ME
Practice Address - Zip Code:04654-1003
Practice Address - Country:US
Practice Address - Phone:207-255-3387
Practice Address - Fax:207-255-3320
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3233225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEKNDAN7442021OtherBLUECROSS BLUESHIELD