Organization
FROM THE GROUND UP OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BOURQUE MS OTR/L (OWNER; OCCUPATIONAL THERAPIST)
(603) 203-0807
Entity
Organization
Contact information
Practice address
79 LANGFORD RD, RAYMOND, NH 03077-1708
(603) 203-0807
Mailing address
79 LANGFORD RD, RAYMOND, NH 03077-1708
(603) 203-0807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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