Individual
GWENDOLYN D JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41 HEATH ST, OAKLAND, ME 04963-4901
(207) 465-7384
Mailing address
41 HEATH ST, OAKLAND, ME 04963-4901
(207) 465-7384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2590
ME
Other
Enumeration date
06/02/2015
Last updated
09/06/2024
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