Organization
SPRINGY POND FARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JORDAN CAMMACK OT/L (OCCUPATIONAL THERAPIST)
(207) 537-3369
Entity
Organization
Contact information
Practice address
562 SPRINGY POND RD., OTIS, ME 04605
(207) 356-2169
Mailing address
416 SPRINGY POND RD, CLIFTON, ME 04428-6175
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
CO8403
ME
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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