Terriellen Wood PTA, COTA

NPI 1003093899 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1003093899
Gender Female
Enumeration Date 01/24/2008
Last Updated 01/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
24 OLD ETNA ROAD
LEBANON NH, 03766, US
Phone (603) 442-4207
Fax
Business Location
91 MT. HUNGER ROAD
HARTLAND VT, 05048, US
Phone (802) 436-2847
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State New Hampshire
License Number 0566
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According to our database, Mrs. Terriellen Wood PTA, COTA NPI is 1003093899, taxonomy code is 224Z00000X and license number is 0566, license state is located at New Hampshire. Terriellen Wood PTA, COTA physically located at 24 Old Etna Road, Lebanon NH, 03766. NPI Number Terriellen Wood PTA, COTA has the Individual type.

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1003093899 NPI number is provided on an as is basis without warranty of any kind. 1003093899 is maintained by the National Plan & Provider Enumeration System. The contents of Terriellen Wood PTA, COTA are for informational purposes only.