IndividualActive
Jacqueline Awalt, COTA/L
NPI 1992308365 · Occupational Therapy Assistant · Oakland, ME
Provider details
- NPI number
- 1992308365
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OA3984 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Phone: (207) 716-1863
Approximate (ZIP-level) locationGet directions
Mailing address
840 Kennedy Memorial Dr
Oakland, ME 04963-4887
Registry dates
- Enumerated
- 2020-11-18
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.