MEDICARE: CYNTHIA WEINBERGER, OT/L, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center	0728	NH

General Provider Information

NPI Number	:	1154610012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA WEINBERGER, OT/L, CHT

Provider Business Mailing Address
First Line	:	PO BOX 841
Second Line	:
City	:	SUNAPEE
State	:	NH
Zip	:	03782-0841
Country	:	US
Telephone Number	:	603-504-5030
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 MAPLE STREET
Second Line	:
City	:	SUNAPEE
State	:	NH
Zip	:	03782-0841
Country	:	US
Telephone Number	:	603-504-5030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA CARRON WEINBERGER
Credential	:	OT/L, CHT
Telephone Number	:	603-504-5030

Provider Enumeration Date	:	03/31/2011
Last Update Date	:	03/31/2011

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