Individual
SUSANNE MARTORNAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MURRAY DRIVE, GORHAM, ME 04038
(207) 233-7373
(888) 731-2721
Mailing address
14 MURRAY DRIVE, GORHAM, ME 04038
(207) 233-7373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1187
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061223
ANTHEM MAINE
ME
01
—
1284152
AENTA
ME
05
—
287920099
—
ME
Enumeration date
02/14/2007
Last updated
11/21/2012
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