Gwendolyn Rumburg, OTR L

Individual provider Active NPI Occupational Therapist · Greenfield, NH

NPI 1700965803 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700965803
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1519 (NH)
Practice address
1 Verney Dr
Greenfield, NH 03047-5000
Phone
(603) 547-3311
Fax
(603) 547-3232
NPI assigned
Nov 2, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
1519NHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1519 NH Yes

Addresses

Primary practice location

1 Verney Dr
Greenfield, NH 03047-5000

Mailing address

1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-3311

Other identifiers

IdentifierTypeStateIssuer
30412878MedicaidNH

Other providers in Greenfield, NH

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

Sources for this page

Verify at the official NPI Registry.