Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0709 | NH |
NPI | 1033701214 |
---|---|
Provider Name | Kristen Baldyga |
First Address | Goffstown, NH 03045-1907 |
Second Address | Goffstown, NH 03045-1907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2021 |
Last Update Date | 09/02/2021 |