Provider Demographics
NPI:1881307353
Name:BUXTON HAND THERAPY & LYMPHEDEMA SERVICES LLC
Entity type:Organization
Organization Name:BUXTON HAND THERAPY & LYMPHEDEMA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS, OTR/L, CLT, CHT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIDORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-376-1129
Mailing Address - Street 1:18 SALMON FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BUXTON
Mailing Address - State:ME
Mailing Address - Zip Code:04093-6153
Mailing Address - Country:US
Mailing Address - Phone:518-376-1129
Mailing Address - Fax:
Practice Address - Street 1:18 SALMON FALLS RD
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093-6153
Practice Address - Country:US
Practice Address - Phone:518-376-1129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty