Provider Demographics
NPI:1093253494
Name:LAROCHE, HANNAH
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LAROCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-7818
Mailing Address - Country:US
Mailing Address - Phone:603-526-3400
Mailing Address - Fax:
Practice Address - Street 1:14 TERRELL WAY
Practice Address - Street 2:
Practice Address - City:GILMANTON IRON WORKS
Practice Address - State:NH
Practice Address - Zip Code:03837-4726
Practice Address - Country:US
Practice Address - Phone:603-479-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer