Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2242 | NH |
N | 225XG0600X | Occupational Therapist - Gerontology | OT2871 | ME |
NPI | 1871917062 |
---|---|
Provider Name | Mrs. Lindsey M Gagne |
First Address | Portsmouth, NH 03801-5516 |
Second Address | Portsmouth, NH 03801-5516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2014 |
Last Update Date | 23/05/2017 |