Altavilla, Ann M

Altavilla, Ann M is an sole proprietor health care provider with primary practice located at 9 Equestrian Way , Scarborough ME 04074-9628. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Altavilla, Ann M can be contacted via phone (207) 229-8732.

Contact Information

Primary practice address
9 Equestrian Way Scarborough ME 04074-9628
Phone: (207) 229-8732
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1663 Maine

Profile Details

NPI number 1265419675
LBN Legal business name Altavilla, Ann M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jun 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265419675 NPPES
Maine MEDICAID 1265419675
Maine Other 022858
Maine Other 1265419675
Maine Other 3708377

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