Active NPIIndividual provider

Jacqueline Awalt, COTA/L

Occupational Therapy Assistant in Oakland, Maine

NPI Number1992308365
Practice location
840 Kennedy Memorial Dr, Oakland, ME 04963-4887
Fax
—
Last updated
November 18, 2020

Jacqueline Awalt is an Occupational Therapy Assistant based in Oakland, ME. Jacqueline Awalt practices in Oakland, ME and has the professional credentials of COTA/L. The NPI Number for Jacqueline Awalt is 1992308365 and holds a License No. OA3984 (ME). The current practice location address for Jacqueline Awalt is 840 Kennedy Memorial Dr, Oakland, ME 04963-4887 and can be reached out via phone at 207-716-1863.

Provider Profile Details

NPI Number
1992308365
Provider Name
Jacqueline Awalt
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
840 Kennedy Memorial Dr, Oakland, ME 04963-4887
Phone Number
207-716-1863
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2020
Last Update Date
November 18, 2020
Certification Date
November 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
State
Maine
Zip
04963-4887
Phone Number
207-716-1863
Oakland, ME 04963Get directions →

Provider Business Mailing Address Details

Address
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
City
Oakland
State
ME
Zip
04963-4887

License Information

License Number
OA3984
License State
ME
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jacqueline Awalt, COTA/L?

The NPI number of Jacqueline Awalt, COTA/L is 1992308365. It was assigned on November 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Awalt, COTA/L?

Jacqueline Awalt, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in ME under license number OA3984.

Where does Jacqueline Awalt, COTA/L practice?

The practice location is 840 Kennedy Memorial Dr, Oakland, ME 04963-4887. The office can be reached at 207-716-1863 (phone).

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 1992308365 directly on the NPPES registry website.

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