Healthcare Provider Details

I. General information

NPI: 1720151178
Provider Name (Legal Business Name): HEATHER JEAN SCHOLL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

656 GOULD HILL RD
HOPKINTON NH
03229-2809
US

IV. Provider business mailing address

PO BOX 661
HOPKINTON NH
03229-0661
US

V. Phone/Fax

Practice location:
  • Phone: 603-296-7494
  • Fax:
Mailing address:
  • Phone: 603-746-2798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0760
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: