Provider Demographics
NPI:1306371901
Name:PANDORA TALKS PC
Entity type:Organization
Organization Name:PANDORA TALKS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-443-8912
Mailing Address - Street 1:18 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WOOLWICH
Mailing Address - State:ME
Mailing Address - Zip Code:04579-4573
Mailing Address - Country:US
Mailing Address - Phone:207-443-8912
Mailing Address - Fax:207-443-8749
Practice Address - Street 1:18 MILLER ST
Practice Address - Street 2:
Practice Address - City:WOOLWICH
Practice Address - State:ME
Practice Address - Zip Code:04579-4573
Practice Address - Country:US
Practice Address - Phone:207-443-8912
Practice Address - Fax:207-443-8749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3315225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty