Individual
MRS. LISA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
12 JAQUITH RD, HARRISVILLE, NH 03450-5217
(603) 827-2904
Mailing address
12 JAQUITH RD, HARRISVILLE, NH 03450-5217
(603) 827-2904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1049
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30417339
—
NH
Enumeration date
11/26/2007
Last updated
02/19/2010
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