Jacklyn L Locke, OTR/L is a
Occupational Therapist based in Cornish, Maine. Jacklyn L Locke is licensed to practice in Maine (license number OT3892) and her current practice location is
16 Old Pike Rd, Cornish, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 625-4300.
NPI number for Jacklyn L Locke is 1609474584 and her current mailing address is Po Box 48, Cornish, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609474584.
Healthcare Provider's Profile
| Full Name | Jacklyn L Locke |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 16 Old Pike Rd, Cornish, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609474584
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 12/13/2021
Medical Identifiers
Medical identifiers for Jacklyn L Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609474584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT3892 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacklyn L Locke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacklyn L Locke, OTR/L
Po Box 48,
Cornish, ME 04020-0048
Ph: (207) 256-7303 | Jacklyn L Locke, OTR/L
16 Old Pike Rd,
Cornish, ME 04020-3506
Ph: (207) 625-4300 |
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