Provider Demographics
NPI:1194552174
Name:SZAFRAN, ERIN LYNN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:SZAFRAN
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 1:40 FARWELL BROOK RD
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:ME
Mailing Address - Zip Code:04039-6638
Mailing Address - Country:US
Mailing Address - Phone:860-287-2232
Mailing Address - Fax:
Practice Address - Street 1:40 FARWELL BROOK RD
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:ME
Practice Address - Zip Code:04039-6638
Practice Address - Country:US
Practice Address - Phone:860-287-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2341225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist