Individual
JESSICA MAXINE DAIGNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
298 JARVIS AVE, HOLYOKE, MA 01040-1288
(413) 538-7551
Mailing address
312 STONY HILL RD, WILBRAHAM, MA 01095-1572
(413) 426-5708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
005213
CT
225X00000X
Occupational Therapist
Primary
13140
MA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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