Provider Demographics
NPI:1861707747
Name:RITCHIE, ANA LAURA (COTA)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:LAURA
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 MCINTYRE RD
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-3035
Mailing Address - Country:US
Mailing Address - Phone:207-532-7552
Mailing Address - Fax:
Practice Address - Street 1:7 BIRD ST
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-2402
Practice Address - Country:US
Practice Address - Phone:207-532-6555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOA1730224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant