Individual
PAUL JUNGWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11 RUSSELL ST APT 3, PORTLAND, ME 04102-3161
(207) 809-9028
Mailing address
11 RUSSELL ST APT 3, PORTLAND, ME 04102-3161
(207) 809-9028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3736
ME
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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