Healthcare Provider Details

I. General information

NPI: 1346964558
Provider Name (Legal Business Name): NATALIE MARTHA COMPTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MAIN ST STE 311
PLYMOUTH NH
03264-1500
US

IV. Provider business mailing address

23 GALE AVE APT 2
LACONIA NH
03246-3008
US

V. Phone/Fax

Practice location:
  • Phone: 603-520-4772
  • Fax:
Mailing address:
  • Phone: 603-520-4772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number3356
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: