Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0731 | NH |
NPI | 1013370907 |
---|---|
Provider Name | Mr. Paul Marchese II |
First Address | Winchester, NH 03470-2806 |
Second Address | Winchester, NH 03470-2806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 30/03/2016 |