Judy Gross, COTA
Individual provider Active NPI Occupational Therapy Assistant · Bedford, NH
NPI 1669867362 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1669867362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0698 (NH)
- Practice address
- 25 Ridgewood Rd
Bedford, NH 03110-6510 - Phone
- (603) 222-0303
- Fax
- (603) 623-0917
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0698 | NH | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0698 | NH | Yes |
Addresses
Primary practice location
25 Ridgewood Rd
Bedford, NH 03110-6510
Mailing address
25 Ridgewood Rd
Bedford, NH 03110-6510
Phone (603) 222-0303
Other providers in Bedford, NH
- Theresa Lynn Green
- Andrea H Greenfeld
- Scott D Greenwald
- Amanda Grillo
- Brittany Grip
- Jillian Lee Grosse
- Ashley Gualandri
- Guardian Home Care of NH, LLC
- Gregory Edward Guillemette
- Donna Guldenstern
All providers in Bedford, NH · Occupational Therapy Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.