Organization
KERIN GRAHAM OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERIN GRAHAM MSOT (OCCUPATIONAL THERAPIST)
(603) 356-4114
Entity
Organization
Contact information
Practice address
170 KEARSARGE RD, NORTH CONWAY, NH 03860-5331
(603) 356-4114
(603) 356-4118
Mailing address
PO BOX 583, INTERVALE, NH 03845-0583
(603) 356-4114
(603) 356-4118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1569
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30417929
—
NH
Enumeration date
01/12/2012
Last updated
01/12/2012
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