Individual
JESSICA C BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L, CLT
Contact information
Practice address
804 PINE ALLEY ST, FORT WALTON BEACH, FL 32547-1216
(860) 803-6683
(888) 857-4412
Mailing address
804 PINE ALLEY ST, FORT WALTON BEACH, FL 32547-1216
(850) 803-6683
(888) 857-4412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14340
FL
225XE0001X
Environmental Modification Occupational Therapist
OT14340
FL
225XE1200X
Ergonomics Occupational Therapist
OT14340
FL
225XG0600X
Gerontology Occupational Therapist
OT14340
FL
225XH1300X
Human Factors Occupational Therapist
OT14340
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT14340
FL
Other
Enumeration date
08/30/2011
Last updated
02/18/2026
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