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

Mrs. Elizabeth Broadaway Jacobson, MSOTR/L

Individual provider Pediatric Occupational Therapist · NPI 1427286889

Mrs. Elizabeth Broadaway Jacobson, MSOTR/L is a Pediatric Occupational Therapist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2009.

Licensed in
ME
In the registry since
2009

Practice location Address checks out

125 Presumpscot St
Portland, ME 04103-5225
Phone: (207) 699-5531
Fax: (207) 699-5529
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT2306 (ME)

Record details

NPI number1427286889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESJune 24, 2009

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