Provider Demographics
NPI:1477984755
Name:COTNOIR, JAMEY ROY (MS, OTR/L, CDP)
Entity Type:Individual
Prefix:
First Name:JAMEY
Middle Name:ROY
Last Name:COTNOIR
Suffix:
Gender:F
Credentials:MS, OTR/L, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04259-0115
Mailing Address - Country:US
Mailing Address - Phone:207-577-8963
Mailing Address - Fax:
Practice Address - Street 1:15 CHICK DR.
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04259
Practice Address - Country:US
Practice Address - Phone:207-333-0386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1716225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology