Individual
JENNIFER LYNNE ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 699-5531
Mailing address
PO BOX 76, AUBURN, ME 04212-0076
(207) 576-8589
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2517
ME
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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