Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT2083 | ME |
N | 225XH1200X | Occupational Therapist - Hand | OT2083 | ME |
NPI | 1063745040 |
---|---|
Provider Name | Catherine Morrell |
First Address | South Portland, ME 04106-3266 |
Second Address | Saco, ME 04072-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2009 |
Last Update Date | 07/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063745040 | (05) | ME |