Individual
JORDYN N GELINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
158255
AK
225X00000X
Occupational Therapist
Primary
TO3691
ME
Other
Enumeration date
06/03/2019
Last updated
09/12/2021
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