Provider Demographics
NPI:1962196410
Name:ENGAGE OT, LLC
Entity type:Organization
Organization Name:ENGAGE OT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEVREFILS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-457-8081
Mailing Address - Street 1:33 JENNIFER DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5903
Mailing Address - Country:US
Mailing Address - Phone:603-457-8081
Mailing Address - Fax:
Practice Address - Street 1:33 JENNIFER DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5903
Practice Address - Country:US
Practice Address - Phone:603-457-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty