Healthcare Provider Details

I. General information

NPI: 1790642668
Provider Name (Legal Business Name): LIANNE ONYX OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 LOCUST ST # 333
DOVER NH
03820-3753
US

IV. Provider business mailing address

61 LOCUST ST # 333
DOVER NH
03820-3753
US

V. Phone/Fax

Practice location:
  • Phone: 603-740-3534
  • Fax:
Mailing address:
  • Phone: 603-740-3534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: