Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0518 | NH |
NPI | 1023224748 |
---|---|
Provider Name | Mrs. Patricia Ann Vanhoudt |
First Address | West Chesterfield, NH 03466-3504 |
Second Address | West Chesterfield, NH 03466-3504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |