DWAYNE OOTHOUDT

LACONIA, NH
NPI1467836064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NH  2551)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: NH  0519)
Enumeration Date2015-07-13
Last Update Date2016-04-27
Business Address
-- DWAYNE OOTHOUDT
406 COURT ST
LACONIA, NH 03246-3600
Phone number: 603-524-0466
Mailing Address
-- DWAYNE OOTHOUDT
4 PEABODY ST
TILTON, NH 03276-5407
Phone number: 603-729-0056