Organization
SOUTHERN MAINE PEDIATRIC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE MARTORANO OTR/L (OWNER)
(207) 233-7373
Entity
Organization
Contact information
Practice address
57 TANDBERG TRL, WINDHAM, ME 04062-6425
(207) 233-7373
Mailing address
57 TANDBERG TRL, WINDHAM, ME 04062-6425
(207) 233-7373
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT2888
ME
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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