| From The Ground Up Ot Llc | |
|
79 Langford Rd, Raymond, NH 03077-1708 | |
| (603) 203-0807 | |
| Not Available |
| Full Name | From The Ground Up Ot Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 79 Langford Rd, Raymond, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285494419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Emily Bourque |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336674597 PECOS PAC ID: 6103368394 Enrollment ID: I20240603003711 |
| Mailing Address | Practice Location Address |
|---|---|
| From The Ground Up Ot Llc 79 Langford Rd, Raymond, NH 03077-1708 Ph: (603) 203-0807 | From The Ground Up Ot Llc 79 Langford Rd, Raymond, NH 03077-1708 Ph: (603) 203-0807 |
Jill M Vinciguerra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 Highway 27, The Family Place, Raymond, NH 03077 Phone: 603-895-1522 | |
Claire Bascio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Route 27 # 107, Raymond, NH 03077 Phone: 603-895-1522 | |
Meagan Bogochow, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Harriman Hill Rd, Raymond, NH 03077 Phone: 603-895-6616 | |
Amy Faust, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Route 27 # 107, Raymond, NH 03077 Phone: 603-895-1522 | |
Heather Kennedy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Route 27 # 107, Raymond, NH 03077 Phone: 603-895-1522 |