Provider Demographics
NPI:1750081972
Name:STEPHENSON, HILARY S (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:S
Last Name:STEPHENSON
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 1:176 CUSHING RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04222-5211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:176 CUSHING RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:ME
Practice Address - Zip Code:04222-5211
Practice Address - Country:US
Practice Address - Phone:207-841-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2887225XP0200X
ME0T2887225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics