Healthcare Provider Details

I. General information

NPI: 1871767053
Provider Name (Legal Business Name): DANIELLE KRAUTMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FISK RD
CONCORD NH
03301-6211
US

IV. Provider business mailing address

74 MORRILL RD
CANTERBURY NH
03224-2305
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-4209
  • Fax:
Mailing address:
  • Phone: 800-995-2673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1921
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: