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Individual

JOCELYN GIAMMARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, LMT

Contact information

Practice address
16 W MYRTLE ST, BIDDEFORD, ME 04005-3217
(207) 730-1241
Mailing address
16 W MYRTLE ST, BIDDEFORD, ME 04005-3217

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT5148
ME
225X00000X
Occupational Therapist
Primary
OT3651
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1665
ME
Enumeration date
03/20/2019
Last updated
03/20/2019
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