| |
125 Main St, Charlestown, NH 03603-4914 | |
(603) 542-1878 | |
(603) 542-1813 |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 125 Main St, Charlestown, New Hampshire |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720480619 | NPI | - | NPPES |
3101870 | Medicaid | NH | |
1023990 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
243 Elm St, Claremont, NH 03743-2099 Ph: (603) 542-7771 | 125 Main St, Charlestown, NH 03603-4914 Ph: (603) 542-1878 |
Ruth Donna Pratt, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Langdon Rd, Charlestown, NH 03603 Phone: 603-445-5280 |