Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Wallace Clark, MSOTR/L

Individual provider Occupational Therapist · NPI 1528658879

Jamie Wallace Clark, MSOTR/L is an Occupational Therapist in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2021

Practice location Address checks out

959 Congress St
Portland, ME 04102-2715
Phone: (207) 699-5600
Fax: (207) 699-5588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT2950 (ME)

Record details

NPI number1528658879
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

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