Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 95 | NH |
NPI | 1023205457 |
---|---|
Provider Name | Norma Weller Robinson |
First Address | Concord, NH 03302-0826 |
Second Address | Concord, NH 03301-3478 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 01/10/2007 |