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Contact Information

RAE LYNN STACKPOOLE, OTR/L
518 US ROUTE 1 # 14&16
KITTERY, ME03904
 Phone: 207-361-7279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RAE LYNN STACKPOOLE · (Female)

NPI Number 1396291878
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 08/25/2016
Last updated 07/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # OT1600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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