Provider Demographics
NPI:1912670241
Name:CHASSE, ERIN CATHERINE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:CATHERINE
Last Name:CHASSE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:CATHERINE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 WESTBROOK COMMON
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2819
Mailing Address - Country:US
Mailing Address - Phone:207-591-7210
Mailing Address - Fax:207-591-7213
Practice Address - Street 1:12 WESTBROOK COMMON
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2819
Practice Address - Country:US
Practice Address - Phone:207-591-7210
Practice Address - Fax:207-591-7213
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT4142225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1720173321Medicaid