Individual
MRS. BETH ELLEN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 310-8790
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 310-8790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1101
ME
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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