Provider Demographics
NPI:1467952077
Name:KROMKO, COURTNEY CHRISTINE (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CHRISTINE
Last Name:KROMKO
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 1/2 SABATTUS ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-3333
Mailing Address - Country:US
Mailing Address - Phone:207-623-3900
Mailing Address - Fax:
Practice Address - Street 1:984 1/2 SABATTUS ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3333
Practice Address - Country:US
Practice Address - Phone:207-241-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3452225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics