Individual
JESSICA L MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 E CHESTNUT ST UNIT 100, AUGUSTA, ME 04330-5765
(207) 582-8400
(207) 582-8401
Mailing address
108 COOKSON LN, WHITEFIELD, ME 04353-3139
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT1257
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1257
DEPT OF PROFESSIONAL AND FINANCIAL REGULATION
ME
Enumeration date
09/08/2010
Last updated
06/06/2019
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