Organization
FULCRUM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA M T RICHARDSON OTR/L (FOUNDER/OCCUPATIONAL THERAPIST)
(207) 459-4039
Entity
Organization
Contact information
Practice address
73 MIDDLE RD, BRENTWOOD, NH 03833-6507
(207) 459-4039
Mailing address
PO BOX 317, BERWICK, ME 03901-0317
(207) 459-4039
(207) 698-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1310
NH
225X00000X
Occupational Therapist
OT1266
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30418667
—
NH
Enumeration date
08/25/2011
Last updated
08/25/2011
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