Individual
MS. THELMA W WAKEFIELD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L, ATP
Contact information
Practice address
67 COMMUNICATION DR, LACONIA, NH 03246-1440
(603) 528-3060
(603) 524-7020
Mailing address
67 COMMUNICATION DR, LACONIA, NH 03246-1440
(603) 528-3060
(603) 524-7020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0020
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307055Y0NH01
ANTHEM BC/BS
NH
Enumeration date
05/04/2006
Last updated
07/08/2007
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