Individual
MISS CAROLANN MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OT R/L
Contact information
Practice address
58 DRUMMOND AVE, WATERVILLE, ME 04901-5755
(207) 873-0695
Mailing address
14 GETCHELL ST, BREWER, ME 04412-2206
(207) 598-0008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3781
ME
Other
Enumeration date
12/11/2019
Last updated
05/08/2023
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