Individual
THERESA ANNE DESJARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2620
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2796
ME
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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