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Individual

JENNA BORCHANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
482518
225X00000X
Occupational Therapist
Primary
OT4983
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
482518
OCCUPATIONAL THERAPIST REGISTERED
Enumeration date
07/17/2019
Last updated
05/07/2026
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