Individual
MARTHA MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
46 FEDERAL ST, BRUNSWICK, ME 04011-2125
(207) 319-1905
Mailing address
46 FEDERAL ST, BRUNSWICK, ME 04011-2125
(207) 319-1905
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1304
ME
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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