MEDICARE: ANDREA SUE BAKHIT MS, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1546	NH

General Provider Information

NPI Number	:	1619242740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA SUE BAKHIT MS, OTR/L

Provider Business Mailing Address
First Line	:	2 AUSTIN CIR
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03063-2008
Country	:	US
Telephone Number	:	603-475-5855
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 LAKE ST
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03060-4431
Country	:	US
Telephone Number	:	603-881-4190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	02/02/2022

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