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1003087016
MARTHA KOLAR IVES
PORTLAND, ME
NPI
1003087016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT91)
Enumeration Date
2008-03-18
Last Update Date
2008-03-18
Business Address
MARTHA KOLAR IVES OTR/L
66 BRAMHALL ST
PORTLAND, ME 04102-3315
Phone number: 207-662-4628
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Mailing Address
MARTHA KOLAR IVES OTR/L
66 BRAMHALL ST
PORTLAND, ME 04102-3315
Phone number: 207-662-4628
Copy
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