Most Relevant Information
Provider Data
NPI Number: | 1003005968 |
Provider Name: | JOHN JOSEPH MAJKUT MSOTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | OT1582 |
Most Important Dates
Enumeration Date: | 10/17/2007 |
Last Updated: | 10/17/2007 |
Provider Practice Location
189 PARK AVE
PORTLAND
ME
041022909
Practice Location Phone/Fax
Phone: | 2077746273 |
Fax: | 2077740679 |
Provider Mailing Location
189 PARK AVE
PORTLAND
ME
041022909
Provider Mailing Phone/Fax
Phone: | 2077746273 |
Fax: | 2077740679 |