Provider Demographics
NPI:1336855394
Name:MURANO, ALYSSA (OT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:MURANO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:OLD TOWN
Mailing Address - State:ME
Mailing Address - Zip Code:04468-0249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:129 MILITARY RD
Practice Address - Street 2:
Practice Address - City:GREENBUSH
Practice Address - State:ME
Practice Address - Zip Code:04418-3137
Practice Address - Country:US
Practice Address - Phone:207-826-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics