Jacqueline R Bouthot, MOTR/L

NPI #1982949517 in Gorham, Maine

Provider Information

NPI Number: 1982949517
Entity Type: Individual
Name: Jacqueline R Bouthot, MOTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOTR/L
Enumeration Date: Dec 8, 2012
Last Updated: Dec 8, 2012

Practice Location

Address: 14 MURRAY DR
City: Gorham
State: Maine
ZIP Code: 04038-4105
Phone: (207) 233-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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