Individual
JILLIAN RACHEL FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12 WESTBROOK CMN, WESTBROOK, ME 04092-2819
(207) 591-7210
Mailing address
12 WESTBROOK CMN, WESTBROOK, ME 04092-2819
(207) 591-7210
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT4121
ME
Other
Enumeration date
08/07/2021
Last updated
04/22/2024
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