Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1205246717 |
---|---|
Provider Name | Lauren Sheehan |
First Address | Portsmouth, NH 03801-3668 |
Second Address | Portsmouth, NH 03801-3668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 11/04/2019 |