Healthcare Provider Details

I. General information

NPI: 1578491684
Provider Name (Legal Business Name): CARMEN LAMONICA OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 WATSON RD
DOVER NH
03820-5820
US

IV. Provider business mailing address

60 AUCLAIR RD
MIDDLETON NH
03887-6116
US

V. Phone/Fax

Practice location:
  • Phone: 603-842-5764
  • Fax:
Mailing address:
  • Phone: 815-222-5840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number3180
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: