- Practice location
- 16 Old Pike RD, Cornish, ME 04020-3506
- Phone
- 207-625-4300
- Fax
- 207-625-7300
- Last updated
- December 13, 2021
Jacklyn L Locke is an Occupational Therapist based in Cornish, ME. Jacklyn L Locke practices in Cornish, ME and has the professional credentials of OTR/L. The NPI Number for Jacklyn L Locke is 1609474584 and holds a License No. OT3892 (ME). The current practice location address for Jacklyn L Locke is 16 Old Pike RD, Cornish, ME 04020-3506 and can be reached out via phone at 207-625-4300 and via fax at 207-625-7300.
Provider Profile Details
- NPI Number
- 1609474584
- Provider Name
- Jacklyn L Locke
- Credential
- OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Old Pike RD, Cornish, ME 04020-3506
- Phone Number
- 207-625-4300
- Fax Number
- 207-625-7300
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Other Names
- Jacklyn L Holmes (Former Name)
- Provider Enumeration Date
- October 13, 2020
- Last Update Date
- December 13, 2021
- Certification Date
- December 13, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Old Pike RD
Cornish, ME 04020-3506 - City
- Cornish
- State
- Maine
- Zip
- 04020-3506
- Phone Number
- 207-625-4300
- Fax Number
- 207-625-7300
Provider Business Mailing Address Details
- Address
- Po Box 48
Cornish, ME 04020-0048 - City
- Cornish
- State
- ME
- Zip
- 04020-0048
- Phone Number
- 207-256-7303
License Information
- License Number
- OT3892
- License State
- ME
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacklyn L Locke, OTR/L?
The NPI number of Jacklyn L Locke, OTR/L is 1609474584. It was assigned on October 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Jacklyn L Locke, OTR/L?
Jacklyn L Locke, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT3892.
Where does Jacklyn L Locke, OTR/L practice?
The practice location is 16 Old Pike RD, Cornish, ME 04020-3506. The office can be reached at 207-625-4300 (phone) or 207-625-7300 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609474584 directly on the NPPES registry website.