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Individual

EMILY KATHLEEN FORTHOFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
62 QUARRY WAY, MANCHESTER, NH 03104-6454
(815) 508-4675
Mailing address
270 NEWSOME RD, MAYFIELD, KY 42066-7662

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.014933
IL
225X00000X
Occupational Therapist
Primary
3412
NH

Other

Enumeration date
02/27/2023
Last updated
05/24/2025
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