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NPI Code Detail

MEDICARE: HEATHER J HARGREAVES OT

MEDICARE: HEATHER J HARGREAVES OT
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
1225X00000XOccupational Therapist2041NH

General Provider Information

NPI Number : 1528208329
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER J HARGREAVES OT
Provider Business Mailing Address
First Line : PO BOX 1713
Second Line :
City : DERRY
State : NH
Zip : 03038-6713
Country : US
Telephone Number : 603-000-0000
Fax Number :
Provider Business Practice Location Address
First Line : 29 CENTER STREET
Second Line :
City : GOFFSTOWN
State : NH
Zip : 03045-2948
Country : US
Telephone Number : 603-479-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2009
Last Update Date : 10/14/2009

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Directions to “ HEATHER J HARGREAVES OT” Practice Location

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