Individual
MICHELLE RENEE TEODORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
26 STATE ST APT 1, PORTLAND, ME 04101-3706
(215) 908-1146
Mailing address
26 STATE ST APT 1, PORTLAND, ME 04101-3706
(215) 908-1146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR01201700
NJ
225X00000X
Occupational Therapist
Primary
OT4758
ME
Other
Enumeration date
10/23/2024
Last updated
12/20/2024
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