Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0816 | NH |
NPI | 1013670561 |
---|---|
Provider Name | Mr. William Carraher |
First Address | Goffstown, NH 03045-2598 |
Second Address | Goffstown, NH 03045-2598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2021 |
Last Update Date | 20/10/2021 |