Active NPIIndividual provider

Amanda E Dodge, COTA/L

Occupational Therapy Assistant in Lebanon, New Hampshire

NPI Number1144530478
Practice location
23 Mahan St, Lebanon, NH 03766-1315
Fax
—
Last updated
October 20, 2010

Amanda Elizabeth Dodge is an Occupational Therapy Assistant based in Lebanon, NH. Amanda Elizabeth Dodge practices in Lebanon, NH and has the professional credentials of COTA/L. The NPI Number for Amanda Elizabeth Dodge is 1144530478 and holds a License No. 073.0044975 (VT). The current practice location address for Amanda Elizabeth Dodge is 23 Mahan St, Lebanon, NH 03766-1315 and can be reached out via phone at 603-443-9639.

Provider Profile Details

NPI Number
1144530478
Provider Name
Amanda Elizabeth Dodge
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
23 Mahan St, Lebanon, NH 03766-1315
Phone Number
603-443-9639
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2010
Last Update Date
October 20, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Mahan St
Lebanon, NH 03766-1315
Zip
03766-1315
Phone Number
603-443-9639
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
76 Olive St
Springfield, VT 05156-3251
City
Springfield
State
VT
Zip
05156-3251
Phone Number
802-376-0021

License Information

License Number
073.0044975
License State
VT
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Amanda E Dodge, COTA/L?

The NPI number of Amanda E Dodge, COTA/L is 1144530478. It was assigned on October 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Amanda E Dodge, COTA/L?

Amanda E Dodge, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in VT under license number 073.0044975.

Where does Amanda E Dodge, COTA/L practice?

The practice location is 23 Mahan St, Lebanon, NH 03766-1315. The office can be reached at 603-443-9639 (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 1144530478 directly on the NPPES registry website.

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