Individual
TAYLOR ANN FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
91 COUNTRY VILLAGE RD, LANCASTER, NH 03584-3142
(603) 788-4735
Mailing address
801 VALLEY RD, RANDOLPH, NH 03593-5259
(603) 915-3495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3029
NH
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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