Provider Demographics
NPI:1730381997
Name:CORRIDORE, MARIA (MS, OTR/L, CLT, CHT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CORRIDORE
Suffix:
Gender:F
Credentials:MS, OTR/L, CLT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SALMON FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BUXTON
Mailing Address - State:ME
Mailing Address - Zip Code:04093-6153
Mailing Address - Country:US
Mailing Address - Phone:518-376-1129
Mailing Address - Fax:575-437-2622
Practice Address - Street 1:18 SALMON FALLS RD
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093-6153
Practice Address - Country:US
Practice Address - Phone:518-376-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3557225X00000X
MEOT3594225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33U079Medicare ID - Type UnspecifiedHOSPITAL MCR SWING BED #
NY00363213Medicaid
NY330079Medicare Oscar/Certification