Provider Demographics
NPI:1023325354
Name:CAMERON, KRISTIN MEYER (MS OTR/L)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:MEYER
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 INDIGO RD
Mailing Address - Street 2:
Mailing Address - City:NOBLEBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04555-9237
Mailing Address - Country:US
Mailing Address - Phone:207-620-0353
Mailing Address - Fax:
Practice Address - Street 1:7 INDIGO RD
Practice Address - Street 2:
Practice Address - City:NOBLEBORO
Practice Address - State:ME
Practice Address - Zip Code:04555-9237
Practice Address - Country:US
Practice Address - Phone:207-620-0353
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
MEOT439225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist