Provider Demographics
NPI:1194150359
Name:DRINKWATER, KASEY L (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:L
Last Name:DRINKWATER
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 1:28 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2940
Mailing Address - Country:US
Mailing Address - Phone:207-596-2003
Mailing Address - Fax:
Practice Address - Street 1:28 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2940
Practice Address - Country:US
Practice Address - Phone:207-596-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2468174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist