Individual
MISS JESSICA MAY DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
430 BATH RD, BRUNSWICK, ME 04011-2637
(207) 443-8912
Mailing address
430 BATH RD, BRUNSWICK, ME 04011-2637
(207) 443-8912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
224Z00000X
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA1693
MAINE LICENCURE
ME
Enumeration date
03/21/2007
Last updated
11/13/2025
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