Jessica Cortes

Individual provider Active NPI Occupational Therapist · Dover Foxcroft, ME

NPI 1376102467 · NPPES record last updated Sep 15, 2021

Key facts

NPI
1376102467
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4072 (ME)
Practice address
1037 W Main St
Dover Foxcroft, ME 04426-3752
Phone
(207) 564-8129
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3130MEMDOccupational Therapist
4072MEMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 3130 ME
Occupational Therapist 225X00000X 4072 ME Yes

Addresses

Primary practice location

1037 W Main St
Dover Foxcroft, ME 04426-3752

Mailing address

7 Martin Rd
Kittery, ME 03904-1010
Phone (914) 588-7686

Other providers in Dover Foxcroft, ME

All providers in Dover Foxcroft, ME · Occupational Therapist in Maine

Sources for this page

Verify at the official NPI Registry.