Provider Demographics
NPI:1588453450
Name:FARM TO FOREST OCCUPATIONAL THERAPY
Entity type:Organization
Organization Name:FARM TO FOREST OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, ADHD-RSP
Authorized Official - Phone:207-317-0392
Mailing Address - Street 1:15 WHIPPORWILL RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5470
Mailing Address - Country:US
Mailing Address - Phone:207-317-0392
Mailing Address - Fax:
Practice Address - Street 1:15 WHIPPORWILL RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5470
Practice Address - Country:US
Practice Address - Phone:207-317-0392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty