Individual
BRENDA GAFFNEY LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
396 N STARK HWY, WEARE, NH 03281-4213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0821
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1305062Y0NH01
ANTHEM NH PROVIDER ID
NH
01
—
373087
MVP HEALTCARE ID
NH
Enumeration date
10/17/2006
Last updated
07/08/2007
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