Individual
JENNIFER CAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 KIDS PEACE WAY, ELLSWORTH, ME 04605-3483
(207) 667-0909
Mailing address
416 SPRINGY POND RD, CLIFTON, ME 04428-6175
(207) 537-3369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1041
ME
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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