Individual
JESSICA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
9 T MAC DR, RAYMOND, ME 04071-6481
(207) 655-1224
(207) 655-1224
Mailing address
9 T MAC DR, RAYMOND, ME 04071-6481
(207) 655-1224
(207) 655-1224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1918
ME
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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