Individual
JESSY MATTHEW GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
95 SKOWHEGAN RD, FAIRFIELD, ME 04937-3479
(207) 453-1330
Mailing address
16 MARTIN AVE, WATERVILLE, ME 04901-4628
(207) 250-1065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA6296
ME
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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