Provider Demographics
NPI:1043436900
Name:NAGY, LAURA ELIZABETH MR (OTL)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ELIZABETH MR
Last Name:NAGY
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:ELIZABETH M
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTL
Mailing Address - Street 1:10 CLEMATIS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303
Mailing Address - Country:US
Mailing Address - Phone:603-228-8832
Mailing Address - Fax:
Practice Address - Street 1:36 CLINTON STREET
Practice Address - Street 2:NEW HAMPSHIRE HOSPITAL APS BUILDING
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-271-5702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1079225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist