Provider Demographics
NPI:1194169623
Name:ARMSTRONG, CARRIE (OTR/L)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ARMSTRONG RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2333
Mailing Address - Country:US
Mailing Address - Phone:603-560-6636
Mailing Address - Fax:
Practice Address - Street 1:15 ARMSTRONG RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2333
Practice Address - Country:US
Practice Address - Phone:603-560-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10759225X00000X
NH2282225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist