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Jessica C Boothe, MSOT, OTR/L, CLT

Occupational Therapist in Fort Walton Beach, FL. Individual provider (NPI-1).

NPI number1194006601
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1194006601
Entity type
Individual (NPI-1)
Name
Jessica C Boothe
Credential
MSOT, OTR/L, CLT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2011
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT14340FLYes
225XE1200X Occupational Therapist, ErgonomicsOT14340FL
225XH1300X Occupational Therapist, Human FactorsOT14340FL
225XG0600X Occupational Therapist, GerontologyOT14340FL
225XE0001X Occupational Therapist, Environmental ModificationOT14340FL
225XP0019X Occupational Therapist, Physical RehabilitationOT14340FL

Other names

  • Jessica C Maresh (Former Name)

Practice location

804 Pine Alley St
Fort Walton Beach, FL 32547-1216

Phone 860-803-6683 · Fax 888-857-4412

Mailing address

804 Pine Alley St
Fort Walton Beach, FL 32547-1216

Phone 850-803-6683 · Fax 888-857-4412

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