Individual
MS. CHERYL JIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
188 EASTERN AVE, AUGUSTA, ME 04330-5928
(207) 622-3121
(207) 623-7666
Mailing address
188 EASTERN AVE, AUGUSTA, ME 04330-5928
(207) 622-3121
(207) 623-7666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1873
ME
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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