Healthcare Provider Details

I. General information

NPI: 1619866068
Provider Name (Legal Business Name): ASHLEY N DESROSIERS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CONCORD ROAD
LEE NH
03861
US

IV. Provider business mailing address

3 MOUNTAIN HOME RD
LONDONDERRY NH
03053-2606
US

V. Phone/Fax

Practice location:
  • Phone: 603-609-5685
  • Fax:
Mailing address:
  • Phone: 603-247-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3971
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: