Individual
MRS. HEIDI LYN MCLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1 VERNEY DRIVE, GREENFIELD, NH 03047
(603) 547-3311
(603) 547-6212
Mailing address
1 VERNEY DRIVE, GREENFIELD, NH 03047
(603) 547-3311
(603) 547-6212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003385
VA
225X00000X
Occupational Therapist
Primary
NHLICENSENO2260
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496604
MEDICARE
—
05
—
4978803
—
VA
Enumeration date
03/25/2011
Last updated
12/11/2012
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