Provider Demographics
NPI:1689001257
Name:KRONENBERGER, MAUREEN JEANNE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:JEANNE
Last Name:KRONENBERGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 OAK LANE
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:ME
Mailing Address - Zip Code:04551
Mailing Address - Country:US
Mailing Address - Phone:207-529-5278
Mailing Address - Fax:
Practice Address - Street 1:16 BURBANK AVE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-798-3500
Practice Address - Fax:207-373-3806
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2434225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist