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Individual

JENNY CATHERINE EMLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
20 BLACK POINT RD, SCARBOROUGH, ME 04074-6378
(207) 885-9415
Mailing address
201 US ROUTE 1 # 151, SCARBOROUGH, ME 04074-9048
(616) 822-2698

Taxonomy

Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
OT2308
ME
225X00000X
Occupational Therapist
Primary
OT2308
ME

Other

Enumeration date
10/14/2022
Last updated
10/17/2022
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