Organization
MY TINY SPECIAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN THORP OTR/L (OCCUPATIONAL THERAPIST)
(802) 526-4966
Entity
Organization
Contact information
Practice address
33 ELDRIDGE ST, LEBANON, NH 03766-1007
(802) 526-4966
Mailing address
33 ELDRIDGE ST, LEBANON, NH 03766-1007
(802) 526-4966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072.0134050
OCCUPATIONAL THERAPIST
VT
Enumeration date
05/28/2024
Last updated
05/28/2024
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