Organization
ABIGAIL JERNIGAN PEDIATRIC OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL JERNIGAN OTR/L (OWNER)
(207) 838-9628
Entity
Organization
Contact information
Practice address
1 OLD MEADOW LN, ORONO, ME 04473-4243
(207) 838-9628
Mailing address
1 OLD MEADOW LN, ORONO, ME 04473-4243
(207) 838-9628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1529
ME
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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