Individual
KATLYN MAXWELL KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
340 GRANITE ST, MANCHESTER, NH 03102-4000
(603) 626-0760
Mailing address
522 AMHERST ST STE 22, NASHUA, NH 03063-1030
(603) 880-0448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
024033
NY
225X00000X
Occupational Therapist
Primary
2804
NH
225X00000X
Occupational Therapist
OT3530
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2804
ALLIED HEALTH
NH
Enumeration date
09/06/2018
Last updated
10/31/2019
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