Individual
MR. JACOB CHRISTIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.O.T.R.L.
Contact information
Practice address
301 NOBLES LN, OLD ORCHARD BEACH, ME 04064-1627
(207) 423-8244
Mailing address
301 NOBLES LN, OLD ORCHARD BEACH, ME 04064-1627
(207) 423-8244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1828
ME
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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