IndividualActive
Danielle Ezekiel, MHRT/C
NPI 1306676903 · Mental Health Occupational Therapist · Portland, ME
Provider details
- NPI number
- 1306676903
- Entity type
- Individual
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MHRT/C
- Sex
- Female
- Sole proprietor
- No
- License
- 39335 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone: (207) 871-1200
Fax: (207) 871-1232
Approximate (ZIP-level) locationGet directions
Mailing address
901 Washington Ave Ste 100
Portland, ME 04103-2842
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.