Individual
LYNNE FASTOSO FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
124 HALL ST STE H, CONCORD, NH 03301-3442
(603) 228-9160
Mailing address
124 HALL ST STE H, CONCORD, NH 03301-3442
(603) 228-9160
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0627
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074301
—
NH
Enumeration date
07/10/2006
Last updated
02/27/2023
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