Individual
MR. KENNETH MICHAEL MARTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
141 W COMMERCIAL ST, PORTLAND, ME 04102-3905
(877) 421-8263
Mailing address
14 TANGLEWOOD DRIVE, KENNEBUNK, ME 04043
(877) 421-8263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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