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1063262350
KENNETH MICHAEL MARTHA
PORTLAND, ME
NPI
1063262350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
Mr. KENNETH MICHAEL MARTHA OTR
141 W COMMERCIAL ST
PORTLAND, ME 04102-3905
Phone number: 877-421-8263
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Mailing Address
Mr. KENNETH MICHAEL MARTHA OTR
14 TANGLEWOOD DRIVE
KENNEBUNK, ME 04043
Phone number: 877-421-8263
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