Individual
KRISTEN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1187
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020377315
COMM TAX ID
NH
01
—
13Y002968NH01
ANTHEM BCBS
—
01
—
272746
CIGNA
NH
01
—
561822
AETNA
NH
01
—
626514
HARVARD PILGRIM
NH
01
—
761242
TUFTS
NH
05
—
99560056
—
NH
Enumeration date
12/06/2006
Last updated
08/27/2019
Update your record
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