Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0731 | NH |
NPI | 1104998616 |
---|---|
Provider Name | Lynn Heller |
First Address | Pepperell, MA 01463-1166 |
Second Address | Nashua, NH 03062-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |