Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline R Bouthot, MOTR/L

Individual provider Occupational Therapist · NPI 1982949517

Jacqueline R Bouthot, MOTR/L is an Occupational Therapist in Gorham, Maine. Licensed in Maine. Registered with an NPI since 2012.

Licensed in
ME
In the registry since
2012
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Practice location Address checks out

14 Murray Dr
Gorham, ME 04038-4105
Phone: (207) 233-7373
Fax: (888) 731-2721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT2603 (ME)

Record details

NPI number1982949517
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L
Sole proprietorNo
NPI enumeratedDecember 8, 2012
Last updated in NPPESDecember 8, 2012

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