Individual
LISA HERRHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 MARTHA TER, PORTSMOUTH, NH 03801-6013
(603) 373-0014
(603) 433-6787
Mailing address
126 MARTHA TER, PORTSMOUTH, NH 03801-6013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0857
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30411251
—
NH
Enumeration date
12/12/2006
Last updated
07/08/2007
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