Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 072.0081596 | VT |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2496 | NH |
NPI | 1326551615 |
---|---|
Provider Name | Sue Ann Ordinetz |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2017 |
Last Update Date | 09/11/2017 |