Jensen Doiron

Individual provider Active NPI Occupational Therapist · Sanford, ME

NPI 1780245332 · NPPES record last updated Jun 25, 2019

Key facts

NPI
1780245332
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
12973 (MA)
Practice address
17 Hutchinson St
Sanford, ME 04073-2206
Phone
(207) 608-3144
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5082CTMDOccupational Therapist
12973MAMDOccupational Therapist
0720134047VTMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0720134047 VT
Occupational Therapist 225X00000X 5082 CT
Occupational Therapist 225X00000X 12973 MA Yes

Addresses

Primary practice location

17 Hutchinson St
Sanford, ME 04073-2206

Mailing address

17 Hutchinson St
Sanford, ME 04073-2206
Phone (207) 608-3144

Other providers in Sanford, ME

All providers in Sanford, ME · Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.