Individual
DENISE BASSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
618 MAIN STREET, LEWISTON, ME 04240
(207) 795-6110
(207) 795-6189
Mailing address
PO BOX 8600, PORTLAND, ME 04104
(207) 774-6323
(207) 761-8460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1082
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041550
ANTHEM
ME
Enumeration date
05/02/2007
Last updated
07/08/2007
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