Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 2111 | NH |
NPI | 1013231406 |
---|---|
Provider Name | Janelle L Carter |
First Address | Londonderry, NH 03053-3441 |
Second Address | Londonderry, NH 03053-3441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2010 |
Last Update Date | 15/03/2010 |