| NPI | 1427296128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M SHEPARD Credentialing Specialist 603-218-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NH 2213) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2020-04-30 |