| Pediatric Development Center | |
|
12 Westbrook Cmn Westbrook ME 04092 | |
| (207) 591-7210 | |
| (207) 591-7213 |
| Full Name | Pediatric Development Center |
|---|---|
| Speciality | Occupational Therapist |
| Location | 12 Westbrook Cmn, Westbrook, Maine |
| Authorized Official Name and Position | Jillian R O'brien (OWNER) |
| Authorized Official Contact | 2075917210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Development Center 12 Westbrook Cmn Westbrook ME 04092-2819 Ph: (207) 591-7210 | Pediatric Development Center 12 Westbrook Cmn Westbrook ME 04092 Ph: (207) 591-7210 |
| NPI Number | 1720173321 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720173321 | NPI | - | NPPES |
| 128690000 | Medicaid | ME |
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