Individual
ALLISON CHRISTINE JENCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 582-8400
Mailing address
15 HASSON STREET, FARMINGDALE, ME 04344
(207) 582-8400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TO2686
ME
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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