Individual
MRS. JACQUELINE GUILLEMETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
312 COTTAGE ST, SANFORD, ME 04073-1828
(207) 324-1488
(207) 490-5733
Mailing address
312 COTTAGE ST, SANFORD, ME 04073-1828
(207) 324-1488
(207) 490-5733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT574
ME
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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