Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 12271 | MA |
N | 225X00000X | Occupational Therapist | 2931 | NH |
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1073046942 |
---|---|
Provider Name | Allissa Younan |
First Address | Epping, NH 03042-2430 |
Second Address | Epping, NH 03042-2430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2017 |
Last Update Date | 03/01/2021 |