Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 PORTLAND ST, YARMOUTH, ME 04096-8101
(207) 846-9021
Mailing address
370 PORTLAND ST, YARMOUTH, ME 04096-8101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2398
ME
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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