Individual
DONNA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT1491
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002415
ANTHEM BLUE SHIELD
ME
Enumeration date
11/13/2006
Last updated
07/09/2007
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