Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3164 | NH |
NPI | 1053084194 |
---|---|
Provider Name | Heather Noffsinger |
First Address | Manchester, NH 03104-1931 |
Second Address | Boscawen, NH 03303-2311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2021 |
Last Update Date | 26/07/2021 |