IndividualActive
Jacklyn Locke, OTR/L
NPI 1609474584 · Occupational Therapist · Cornish, ME
Provider details
- NPI number
- 1609474584
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT3892 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
16 Old Pike Rd
Cornish, ME 04020-3506
Phone: (207) 625-4300
Fax: (207) 625-7300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 48
Cornish, ME 04020-0048
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.