Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2771 | NH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 2771 | NH |
NPI | 1396236196 |
---|---|
Provider Name | Marin Christiana Amyotte |
First Address | Grantham, NH 03753 |
Second Address | Grantham, NH 03753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2018 |
Last Update Date | 29/05/2018 |