MEDICARE: EMILY ELIZABETH WEHRWEIN OTR/L

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	225XH1200X	Hand Occupational Therapist	3398	NH
2	225X00000X	Occupational Therapist	OT4406	ME
3	225X00000X	Occupational Therapist	056012200	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3398	OTHER	NH	STATE LICENSE

General Provider Information

NPI Number	:	1598276024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH WEHRWEIN OTR/L

Provider Business Mailing Address
First Line	:	95 BREWERY LN UNIT B
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4900
Country	:	US
Telephone Number	:	402-660-9399
Fax Number	:	603-420-7558

Provider Business Practice Location Address
First Line	:	95 BREWERY LN UNIT B
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4900
Country	:	US
Telephone Number	:	402-660-9399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2017
Last Update Date	:	05/29/2026

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