Individual provider · Type 1 NPI

Jacqueline R. Bouthot, MOTR/L

Occupational Therapist · Gorham, ME

NPI number 1982949517 Active

Practice location

14 Murray Dr
Gorham, ME 04038-4105

Fax (888) 731-2721

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT2603 (ME)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1982949517

Jacqueline R. Bouthot, MOTR/L's National Provider Identifier is 1982949517, issued on Dec 8, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Gorham, ME. The record was last updated on Dec 8, 2012.