Provider Demographics
NPI:1366744302
Name:ALBERT, TRICIA E (OTR/L)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:E
Last Name:ALBERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:E
Other - Last Name:BILODEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:19 SAGE BRUSH DR
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9165
Mailing Address - Country:US
Mailing Address - Phone:207-808-9253
Mailing Address - Fax:
Practice Address - Street 1:39 LIMERICK RD
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-8158
Practice Address - Country:US
Practice Address - Phone:207-985-1861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT815225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist