Healthcare Provider Details

I. General information

NPI: 1699001883
Provider Name (Legal Business Name): OT IN MOTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2009
Last Update Date: 10/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8H SOO-NIPI CIRCLE
SUNAPEE NH
03782
US

IV. Provider business mailing address

PO BOX 1404
GRANTHAM NH
03753-1404
US

V. Phone/Fax

Practice location:
  • Phone: 603-306-6363
  • Fax: 603-863-6807
Mailing address:
  • Phone: 603-306-6363
  • Fax: 603-863-6807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JANET L CORREIA
Title or Position: MANAGING PARTNER
Credential: O.T.
Phone: 603-306-6363