Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0061 | NH |
NPI | 1033236039 |
---|---|
Provider Name | Mrs. Brenda Ann Knee |
First Address | Concord, NH 03301-2662 |
Second Address | Concord, NH 03301-7504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |