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
1	224Z00000X	Occupational Therapy Assistant	0342	NH
2	225200000X	Physical Therapy Assistant	0540	NH
3	225XP0200X	Pediatric Occupational Therapist	2789	NH

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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