| NPI | 1114502598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L HEPPDING Occupational Therapist 603-417-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |