Provider Demographics
NPI:1114594215
Name:BISHOP, SANDRA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:BISHOP
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 1:92 WELLS VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:SANDOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03873-2330
Mailing Address - Country:US
Mailing Address - Phone:603-247-4350
Mailing Address - Fax:
Practice Address - Street 1:92 WELLS VILLAGE RD
Practice Address - Street 2:
Practice Address - City:SANDOWN
Practice Address - State:NH
Practice Address - Zip Code:03873-2330
Practice Address - Country:US
Practice Address - Phone:603-247-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist