Active NPIIndividual providerSole proprietor

Mr. Owen T Tabelisma, OTR/L

Occupational Therapist in Grantham, New Hampshire

NPI Number1073915203
Practice location
788 Dunbar Hill RD, Grantham, NH 03753-3231
Fax
—
Last updated
January 13, 2015

Owen Tanada Tabelisma is an Occupational Therapist based in Grantham, NH. Owen Tanada Tabelisma practices in Grantham, NH and has the professional credentials of OTR/L. The NPI Number for Owen Tanada Tabelisma is 1073915203 and holds a License No. 072.0077349 (VT). The current practice location address for Owen Tanada Tabelisma is 788 Dunbar Hill RD, Grantham, NH 03753-3231 and can be reached out via phone at 609-224-3952.

Provider Profile Details

NPI Number
1073915203
Provider Name
Owen Tanada Tabelisma
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
788 Dunbar Hill RD, Grantham, NH 03753-3231
Phone Number
609-224-3952
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 18, 2014
Last Update Date
January 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
788 Dunbar Hill RD
Grantham, NH 03753-3231
Zip
03753-3231
Phone Number
609-224-3952
Grantham, NH 03753Get directions →

Provider Business Mailing Address Details

Address
788 Dunbar Hill RD
Grantham, NH 03753-3231
City
Grantham
State
NH
Zip
03753-3231
Phone Number
609-224-3952

License Information

License Number
072.0077349
License State
VT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Owen T Tabelisma, OTR/L?

The NPI number of Mr. Owen T Tabelisma, OTR/L is 1073915203. It was assigned on September 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Owen T Tabelisma, OTR/L?

Mr. Owen T Tabelisma, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in VT under license number 072.0077349.

Where does Mr. Owen T Tabelisma, OTR/L practice?

The practice location is 788 Dunbar Hill RD, Grantham, NH 03753-3231. The office can be reached at 609-224-3952 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073915203 directly on the NPPES registry website.

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