Provider Demographics
NPI:1952667727
Name:GADDIS, ABIGAIL LEE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LEE
Last Name:GADDIS
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 1:232 JACKINS SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:HODGDON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-4329
Mailing Address - Country:US
Mailing Address - Phone:207-460-6005
Mailing Address - Fax:
Practice Address - Street 1:232 JACKINS SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:HODGDON
Practice Address - State:ME
Practice Address - Zip Code:04730-4329
Practice Address - Country:US
Practice Address - Phone:207-460-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-06
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1289225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist