Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0099 | NH |
NPI | 1003117599 |
---|---|
Provider Name | Linda J Thyne |
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 | 15/11/2010 |
Last Update Date | 15/11/2010 |