Healthcare Provider Details

I. General information

NPI: 1598210304
Provider Name (Legal Business Name): BE WELL THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 08/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

589 2ND CROWN POINT RD
STRAFFORD NH
03884-6205
US

IV. Provider business mailing address

589 2ND CROWN POINT RD
STRAFFORD NH
03884-6205
US

V. Phone/Fax

Practice location:
  • Phone: 603-781-2422
  • Fax:
Mailing address:
  • Phone: 603-781-2422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CAROL EILEES YOUNG
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 603-781-2422