Individual
MRS. JANA MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
370 PORTLAND ST, YARMOUTH, ME 04096-8101
(207) 846-9021
Mailing address
14 FELLOWS ST, SOUTH PORTLAND, ME 04106-3310
(207) 299-5709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TO2127
ME
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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