Individual
MISS JEAN M GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
67 PINE POINT RD, SCARBOROUGH, ME 04074-8813
(207) 883-2468
Mailing address
4 STAGECOACH LN, WINDHAM, ME 04062-5150
(207) 892-9924
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1739
ME
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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