Active NPIIndividual providerSole proprietor

Mrs. Brenda M Van Decker, COTA/L

Occupational Therapy Assistant in Auburn, Maine

NPI Number1588971360
Practice location
60 Court Street, Auburn School Department, Auburn, ME 04212-0800
Fax
—
Last updated
September 1, 2010

Brenda Mitchell Van Decker is an Occupational Therapy Assistant based in Auburn, ME. Brenda Mitchell Van Decker practices in Auburn, ME and has the professional credentials of COTA/L. The NPI Number for Brenda Mitchell Van Decker is 1588971360 and holds a License No. O1613A (ME). The current practice location address for Brenda Mitchell Van Decker is 60 Court Street, Auburn School Department, Auburn, ME 04212-0800 and can be reached out via phone at 207-333-6600.

Provider Profile Details

NPI Number
1588971360
Provider Name
Brenda Mitchell Van Decker
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
60 Court Street, Auburn School Department, Auburn, ME 04212-0800
Phone Number
207-333-6600
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 1, 2010
Last Update Date
September 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Court Street
Auburn School Department
Auburn, ME 04212-0800
City
Auburn
State
Maine
Zip
04212-0800
Phone Number
207-333-6600
Auburn, ME 04212Get directions →

Provider Business Mailing Address Details

Address
167 Leach Hill Road
Casco, ME 04015
City
Casco
State
ME
Zip
04015
Phone Number
207-627-7207

License Information

License Number
O1613A
License State
ME
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Brenda M Van Decker, COTA/L?

The NPI number of Mrs. Brenda M Van Decker, COTA/L is 1588971360. It was assigned on September 1, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Brenda M Van Decker, COTA/L?

Mrs. Brenda M Van Decker, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in ME under license number O1613A.

Where does Mrs. Brenda M Van Decker, COTA/L practice?

The practice location is 60 Court Street, Auburn School Department, Auburn, ME 04212-0800. The office can be reached at 207-333-6600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588971360 directly on the NPPES registry website.

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