Marissa E. Kelley, Otr/L, Pc

LBN: Marissa E. Kelley, Otr/L, Pc
Marissa E. Kelley, Otr/L, Pc is an health care organization with primary practice located at 3208 Camden Rd , Warren ME 04864-4124. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Marissa E. Kelley, Otr/L, Pc can be contacted via phone (207) 594-5076, or through Kelley, Marissa via phone (207) 594-5076.

Contact Information

Primary practice address
3208 Camden Rd Warren ME 04864-4124
Fax: (207) 594-7339
Website:
Authorized official contact:
Name: Kelley, Marissa OTR/L

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT1342 Maine

Profile Details

NPI number 1316250137
LBN Legal business name Marissa E. Kelley, Otr/L, Pc
DBA Doing business as
Authorized official Kelley, Marissa OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2010
Last updated Jul 21st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316250137 NPPES
Maine MEDICAID 212770000

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