Organization
PEDIATRIC DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN R O'BRIEN OTRL (OWNER)
(207) 591-7210
Entity
Organization
Contact information
Practice address
12 WESTBROOK CMN, WESTBROOK, ME 04092
(207) 591-7210
(207) 591-7213
Mailing address
12 WESTBROOK CMN, WESTBROOK, ME 04092-2819
(207) 591-7210
(207) 591-7213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128690000
—
ME
Enumeration date
10/03/2006
Last updated
10/12/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up