# CHILD HEALTH CENTER-OCCUPATIONAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588891980
- **Authorized official:** MR. RAYMOND HATCH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (207) 743-7035

## Contact information

- **Practice address:** 16 MADISON AVE, OXFORD, ME 04270-3579
- **Practice address phone:** (207) 743-7035
- **Practice address fax:** (207) 743-2970
- **Mailing address:** 16 MADISON AVE, OXFORD, ME 04270-3579
- **Mailing address phone:** (207) 743-7035
- **Mailing address fax:** (207) 743-2970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 210451 | ME | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | 210451 | ME | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/12/2009
