ELIZABETH BROADAWAY JACOBSON

PORTLAND, ME
NPI1427286889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ME  OT2306)
Enumeration Date2009-06-24
Last Update Date2009-06-24
Business Address
Mrs. ELIZABETH BROADAWAY JACOBSON MS OTR/L
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-699-5531
Mailing Address
Mrs. ELIZABETH BROADAWAY JACOBSON MS OTR/L
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-699-5531