Provider Demographics
NPI:1366068892
Name:USCHMANN, KATHERINE (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:USCHMANN
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 LEIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-7712
Mailing Address - Country:US
Mailing Address - Phone:646-322-7450
Mailing Address - Fax:
Practice Address - Street 1:33 LEIGHTON RD
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-7712
Practice Address - Country:US
Practice Address - Phone:646-322-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3853225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEOT3853OtherBOARD OF OCCUPATIONAL THERAPY PRACTICE
438172OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY