Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elsie Rose Shaw

Individual provider Occupational Therapy Assistant · NPI 1619578903

Elsie Rose Shaw is an Occupational Therapy Assistant in Dexter, Maine. Licensed in Maine. Registered with an NPI since 2020.

Licensed in
ME
In the registry since
2020
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Practice location Address checks out

64 Park St
Dexter, ME 04930-1470
Phone: (207) 924-5516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OA3893 (ME)

Record details

NPI number1619578903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address48 Main St, Detroit, ME 04929-3236

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