Provider Demographics
NPI:1962711622
Name:HATCH, ERIN E (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:HATCH
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 1:575 PATTEN DR
Mailing Address - Street 2:
Mailing Address - City:HERMON
Mailing Address - State:ME
Mailing Address - Zip Code:04401-0917
Mailing Address - Country:US
Mailing Address - Phone:207-356-5551
Mailing Address - Fax:
Practice Address - Street 1:1 CUMBERLAND PL STE 122
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5090
Practice Address - Country:US
Practice Address - Phone:207-300-4321
Practice Address - Fax:844-520-1784
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT 2477225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEOT 2477OtherSTATE OF MAINE LICENSE