Individual
JESSICA GIROUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
407 EAST AVE, LEWISTON, ME 04240-4776
(207) 795-4150
Mailing address
25 ASHMOUNT ST, LEWISTON, ME 04240-4503
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
#OT1339
ME
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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