Provider Demographics
NPI:1649990706
Name:LEMELIN, NORA (OTR/L)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:LEMELIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 PEQUOT RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-9587
Mailing Address - Country:US
Mailing Address - Phone:413-626-9455
Mailing Address - Fax:
Practice Address - Street 1:22 PEQUOT RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-9587
Practice Address - Country:US
Practice Address - Phone:413-626-9455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1279225X00000X
MA14339225X00000X
NH3805225X00000X
CT005881225X00000X
NHEL14001225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist