Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0549 | NH |
NPI | 1235258716 |
---|---|
Provider Name | Mrs. Alyson Marie Condict |
First Address | Concord, NH 03301-7539 |
Second Address | Concord, NH 03301-7539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |