Individual
LAURIE SWIFT MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
73 BELLAMY RD, DOVER, NH 03820-4350
(603) 742-2448
Mailing address
73 BELLAMY RD, DOVER, NH 03820-4350
(603) 742-2448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0387
NH
225X00000X
Occupational Therapist
OT126
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039131
ANTHEM, MAINE ID
ME
01
—
13Y005371NH01
ANTHEM BILLING ID
NH
05
—
30010133
—
NH
Enumeration date
09/04/2006
Last updated
07/09/2007
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