Healthcare Provider Details

I. General information

NPI: 1992626022
Provider Name (Legal Business Name): BAILEY CIARDELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 PORTSMOUTH AVE STE A1A
STRATHAM NH
03885-4415
US

IV. Provider business mailing address

43 RUSSELL ST
NASHUA NH
03060-4101
US

V. Phone/Fax

Practice location:
  • Phone: 207-370-1744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4239
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: