Angie Madore, OT

Individual provider Active NPI Occupational Therapist · Greenville, ME

NPI 1992011340 · NPPES record last updated Oct 17, 2018

Key facts

NPI
1992011340
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT2030 (ME)
Practice address
364 Pritham Ave
Greenville, ME 04441
Phone
(207) 695-5220
Fax
(207) 695-3709
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT2030MEMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2030 ME Yes

Addresses

Primary practice location

364 Pritham Ave
Greenville, ME 04441

Mailing address

364 Pritham Ave
Frenchtown TWP, ME 04441-7214
Phone (207) 695-5257

Other providers in Greenville, ME

All providers in Greenville, ME · Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.