Individual
MRS. JANET GONNEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7540 N 19TH AVE, #200, PHOENIX, AZ 85021-7967
(888) 873-4221
(888) 543-2289
Mailing address
165 7TH AVE, MADAWASKA, ME 04756-1610
(207) 728-3718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT438
ME
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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