Individual
SHERRY M BOOTHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2 DAVIS POINT LN UNIT 1A, CAPE ELIZABETH, ME 04107
(207) 767-9773
(207) 415-9212
Mailing address
2 DAVIS POINT LN UNIT 1A, CAPE ELIZABETH, ME 04107-2628
(207) 767-9773
(207) 415-9212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT569
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME135101
MEDICARE PTAN
ME
Enumeration date
07/02/2006
Last updated
10/08/2018
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