# SOUTHERN MAINE PEDIATRIC THERAPIES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962891390
- **Authorized official:** SUSANNE MARTORANO OTR/L (OWNER)
- **Authorized official phone:** (207) 233-7373

## Contact information

- **Practice address:** 57 TANDBERG TRL, WINDHAM, ME 04062-6425
- **Practice address phone:** (207) 233-7373
- **Mailing address:** 57 TANDBERG TRL, WINDHAM, ME 04062-6425
- **Mailing address phone:** (207) 233-7373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | OT2888 | ME | Yes |

## Other

- **Enumeration date:** 01/22/2015
- **Last updated:** 01/22/2015