Southern Maine Pediatric Therapies, PLLC
Organization Active NPI Occupational Therapist · Gorham, ME
NPI 1174867576 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1174867576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1187 (ME)
- Legal business name
- SOUTHERN MAINE PEDIATRIC THERAPIES, PLLC
- Practice address
- 14 Murray Drive
Gorham, ME 04038 - Phone
- (207) 233-7373
- Fax
- (888) 731-2721
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susanne L Martorano, OTR/L
- Title
- Owner
- Phone
- (207) 233-7373
Corporate family (same tax ID) 1
Practitioners 10
-
Jacqueline R Bouthot, MOTR/L
-
Sarah Grinder, OT
-
Meaghan Hamel, OTR/L
-
Chelsea Martin, OTR/L
-
Danielle Vanier, OTR/L
National Provider Directory
- Tax ID family
- Southern Maine Pediatric Therapies
Locations
10 Trails End Rd
Windham, ME 04062
Phone (207) 233-7373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | OT1187 | ME | Yes |
Addresses
Primary practice location
14 Murray Drive
Gorham, ME 04038
Mailing address
14 Murray Drive
Gorham, ME 04038
Phone (207) 233-7373
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467595322 | Other | INDIVIDUAL NPI |
Other providers in Gorham, ME
- Dale Alan Smith
- Michael Earl Smith
- Samantha Smith
- Soul Wisdom Counseling
- Southern Maine in Home Therapy Services,LLC
- Southwestern Maine Clinical Assoc PA
- Matthew Steinback
- Cordell Stuart
- Sami-Jo Stubbs
- Andee R Stynchula
All providers in Gorham, ME · Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.