Individual
JESSICA ANN KAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3152
ME
225XH1200X
Hand Occupational Therapist
OT3152
ME
Other
Enumeration date
12/15/2016
Last updated
11/19/2018
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