Individual
JESSICA CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 W MAIN ST, DOVER FOXCROFT, ME 04426-3752
(207) 564-8129
Mailing address
7 MARTIN RD, KITTERY, ME 03904-1010
(914) 588-7686
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
3130
ME
225X00000X
Occupational Therapist
Primary
4072
ME
Other
Enumeration date
06/11/2019
Last updated
09/15/2021
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