Individual
JESSE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT,OTR,L,CLT,WCC
Contact information
Practice address
42 SANDERSON RD, POLAND, ME 04274-6371
(207) 567-7381
Mailing address
42 SANDERSON RD, POLAND, ME 04274-6371
(207) 567-7381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2465
ME
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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