Individual
CARMEN OLIVIA YOUNGBLOOD
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 03063-1019
(603) 880-0448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2953
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2953
OFFICE OF ALLIED HEALTH
NH
Enumeration date
11/11/2019
Last updated
11/11/2019
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