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NPI Code Detail

MEDICARE: MRS. MELINDA A LARO OTD

MEDICARE:  MRS. MELINDA A LARO  OTD
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
1224Z00000XOccupational Therapy Assistant0342NH
2225200000XPhysical Therapy Assistant0540NH
3225XP0200XPediatric Occupational Therapist2789NH

General Provider Information

NPI Number : 1942524327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA A LARO OTD
Provider Business Mailing Address
First Line : 458 FOREST ACRES RD
Second Line :
City : NEW LONDON
State : NH
Zip : 03257-6027
Country : US
Telephone Number : 603-715-6227
Fax Number :
Provider Business Practice Location Address
First Line : 458 FOREST ACRES RD
Second Line :
City : NEW LONDON
State : NH
Zip : 03257-6027
Country : US
Telephone Number : 603-715-6227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2010
Last Update Date : 02/18/2021

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Directions to “ MRS. MELINDA A LARO OTD” Practice Location

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