Healthcare Provider Details

I. General information

NPI: 1043047251
Provider Name (Legal Business Name): ALYSON BLANCHETTE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 MIDDLE ST
LANCASTER NH
03584-3508
US

IV. Provider business mailing address

36 COUNTRYSIDE AVE
BERLIN NH
03570-3504
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-5009
  • Fax:
Mailing address:
  • Phone: 603-348-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number3841
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: