Provider Demographics
NPI:1518258979
Name:GENTEMPO, HANNAH LOUISE
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LOUISE
Last Name:GENTEMPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 BELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:OTISFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04270-6613
Mailing Address - Country:US
Mailing Address - Phone:207-461-8738
Mailing Address - Fax:
Practice Address - Street 1:354 BELL HILL RD
Practice Address - Street 2:
Practice Address - City:OTISFIELD
Practice Address - State:ME
Practice Address - Zip Code:04270-6613
Practice Address - Country:US
Practice Address - Phone:207-461-8738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT 4345225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist