Individual
HEATHER JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 CASTINE RD, ORLAND, ME 04472
(207) 812-5863
Mailing address
430 CASTINE RD, ORLAND, ME 04472
(207) 812-5863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3459
ME
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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