Individual
MRS. MARGARET ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT2661
ME
225X00000X
Occupational Therapist
Primary
OT307
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT307
ME LICENSE
ME
Enumeration date
07/17/2006
Last updated
12/19/2007
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