Provider Demographics
NPI:1871893784
Name:SILVA, LAUREN ANNE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANNE
Last Name:SILVA
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 1:9 WENTWORTH DR
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-8262
Mailing Address - Country:US
Mailing Address - Phone:207-730-4100
Mailing Address - Fax:207-730-4104
Practice Address - Street 1:9 WENTWORTH DR
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-8262
Practice Address - Country:US
Practice Address - Phone:207-730-4100
Practice Address - Fax:207-730-4104
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1704225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist