Provider Demographics
NPI:1184105504
Name:PARADIS-HAMILTON, SAVANNAH (OTR/L)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:PARADIS-HAMILTON
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 1:88 SUMMER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT KENT
Mailing Address - State:ME
Mailing Address - Zip Code:04743-1620
Mailing Address - Country:US
Mailing Address - Phone:207-316-3110
Mailing Address - Fax:
Practice Address - Street 1:88 SUMMER AVE
Practice Address - Street 2:
Practice Address - City:FORT KENT
Practice Address - State:ME
Practice Address - Zip Code:04743-1620
Practice Address - Country:US
Practice Address - Phone:207-316-3110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3519225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist