Kathleen Beach

Individual provider Active NPI Occupational Therapist · Salem, NH

NPI 1639588148 · NPPES record last updated Aug 8, 2014

Key facts

NPI
1639588148
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2461 (CT)
Practice address
2 Keewaydin Dr
Salem, NH 03079-2839
Phone
(800) 995-2673
Fax
(888) 979-6551
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2461CTMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2461 CT Yes

Addresses

Primary practice location

2 Keewaydin Dr
Salem, NH 03079-2839

Mailing address

2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673

Other providers in Salem, NH

All providers in Salem, NH · Occupational Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.