Jacqueline Awalt, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Oakland, ME
NPI 1992308365 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1992308365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OA3984 (ME)
- Practice address
- 840 Kennedy Memorial Dr
Oakland, ME 04963-4887 - Phone
- (207) 716-1863
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA3984 | ME | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallant Therapy Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OA3984 | ME | Yes |
Addresses
Primary practice location
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Mailing address
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Other providers in Oakland, ME
- Yusuf Abdi
- Timothy Adams
- Jonathan I Alexis
- Apex Diagnostics- Me, LLC
- Anne Baldwin-Bernier
- Lucas Jason Bayne
- Helen Lydia Bell Necevski
- Keith Bellefleur
- Robert C Benner
All providers in Oakland, ME · Occupational Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.