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Individual

JENNIFER LEIGH RIVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
102 CAMPUS AVENUE, LEWISTON, ME 04240
(207) 777-4219
Mailing address
10 JORDAN AVE, AUBURN, ME 04210-5516
(207) 782-0581

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1598
ME

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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