MRS. Jennifer Desisto, O.T.

NPI #1174937890 in Hampden, Maine

Provider Information

NPI Number: 1174937890
Entity Type: Individual
Name: MRS. Jennifer Desisto, O.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Jun 20, 2014
Last Updated: Jun 20, 2014

Practice Location

Address: 24 MAIN RD N
City: Hampden
State: Maine
ZIP Code: 04444-1306
Phone: (207) 862-3255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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