Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0331 | NH |
NPI | 1134306681 |
---|---|
Provider Name | Carol L Lewis |
First Address | Nashua, NH 03062-1304 |
Second Address | Nashua, NH 03062-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 28/01/2008 |