Individual
JESSICA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15 NUDD ST # 2, WATERVILLE, ME 04901-7328
(207) 290-2212
Mailing address
15 NUDD ST # 2, WATERVILLE, ME 04901-7328
(207) 290-2212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3086
ME
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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