- Practice location
- 14 Murray Dr, Gorham, ME 04038-4105
- Phone
- 207-233-7373
- Fax
- 888-731-2721
- Last updated
- December 8, 2012
Jacqueline R Bouthot is an Occupational Therapist based in Gorham, ME. Jacqueline R Bouthot practices in Gorham, ME and has the professional credentials of MOTR/L. The NPI Number for Jacqueline R Bouthot is 1982949517 and holds a License No. OT2603 (ME). The current practice location address for Jacqueline R Bouthot is 14 Murray Dr, Gorham, ME 04038-4105 and can be reached out via phone at 207-233-7373 and via fax at 888-731-2721.
Provider Profile Details
- NPI Number
- 1982949517
- Provider Name
- Jacqueline R Bouthot
- Credential
- MOTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Murray Dr, Gorham, ME 04038-4105
- Phone Number
- 207-233-7373
- Fax Number
- 888-731-2721
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 8, 2012
- Last Update Date
- December 8, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Murray Dr
Gorham, ME 04038-4105 - City
- Gorham
- State
- Maine
- Zip
- 04038-4105
- Phone Number
- 207-233-7373
- Fax Number
- 888-731-2721
Provider Business Mailing Address Details
- Address
- 14 Murray Dr
Gorham, ME 04038-4105 - City
- Gorham
- State
- ME
- Zip
- 04038-4105
- Phone Number
- 207-233-7373
- Fax Number
- 888-731-2721
License Information
- License Number
- OT2603
- 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. | |||
Other Occupational Therapists near Gorham, ME
View all Occupational Therapists in Gorham →- Brandi M BesseyOccupational Therapist · NPI 1750045068
- Merril A Abramson, RNRegistered Nurse · NPI 1922905884
- Previta Oral Health Institute LLCDental Hygienist · NPI 1700780806
- Diego Barbosa Da Silva, IPDH, RDHDental Hygienist · NPI 1407760721
- Amber S Bell, PTPhysical Therapist · NPI 1679513048
- A Perfect Care, LLCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1013885623
Frequently Asked Questions
What is the NPI number of Jacqueline R Bouthot, MOTR/L?
The NPI number of Jacqueline R Bouthot, MOTR/L is 1982949517. It was assigned on December 8, 2012 and is currently active in the NPPES registry.
What is the specialty of Jacqueline R Bouthot, MOTR/L?
Jacqueline R Bouthot, MOTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT2603.
Where does Jacqueline R Bouthot, MOTR/L practice?
The practice location is 14 Murray Dr, Gorham, ME 04038-4105. The office can be reached at 207-233-7373 (phone) or 888-731-2721 (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 1982949517 directly on the NPPES registry website.